Carly Dietz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42703 Issued in IN

Practice address

99 E 86TH Ave Ste F
Merrillville, IN 46410-6267

Phone

(219) 616-4612

NPI assigned

Jun 7, 2018

Last updated

Aug 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Individual Piece ABA

  • Behavior Analyst
  • Merrillville, IN
  • NPI 1265283592
  NPD Authorized official
• Innovations in Learning, PC

  • Behavior Analyst
  • Merrillville, IN
  • NPI 1689776718
  NPD (past)
• Wee Care Therapy LTD

  • Speech-Language Pathologist
  • Dyer, IN
  • NPI 1780630525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1639662398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 STATE ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078608",
            "telephone_number": "219-616-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE STE F",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106267",
            "telephone_number": "219-616-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-20-42703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srikietr Dhana, MD
• Mohammed Diabor, PHARMD
• Dialysis Care Center Merrillville LLC
• Diamond Health Group
• Rachel Dick, BCBA, MA
• Nicole Dietz
• Luisa Diez, ROT
• Digitrace Care Services Inc
• Cassidy Dilliard
• Sherese R Dillon, DPM

• Behavior Analyst in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.