Active NPI
Donna Rebecca Lydy, BCBA, COBA, LBA
- Behavior Analyst
- Columbus, OH
National Provider Identifier
1720484355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-9541
- Practice address
- 3070 Riverside Dr Ste 200
Columbus, OH 43221-2547 - Phone
- (866) 523-4268
- NPI assigned
- Nov 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-9541 | OH | Primary |
Addresses
Primary practice location
3070 Riverside Dr Ste 200
Columbus, OH 43221-2547
Mailing address
Dept la 22763
Pasadena, CA 91185-2763
Phone (866) 523-4268
Other practice location 1
2620 Westmar Ct Apt 354
Toledo, OH 43615-2010
Phone (419) 270-1732
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7401001073 | Other | MI | DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
| 1-14-9541 | Other | BCBA CERTIFICATE | |
| COBA.116 | Other | OH | OHIO BOARD OF PSYCHOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1720484355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 22763",
"city": "PASADENA",
"state": "CA",
"postal_code": "911852763",
"telephone_number": "866-523-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 RIVERSIDE DR STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212547",
"telephone_number": "866-523-4268"
}
],
"practiceLocations": [
{
"address_1": "2620 Westmar Ct Apt 354",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436152010",
"country_code": "US",
"telephone_number": "419-270-1732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYDY",
"first_name": "DONNA",
"middle_name": "REBECCA",
"credential": "BCBA, COBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-14-9541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
"identifier": "7401001073",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-14-9541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF PSYCHOLOGY",
"identifier": "COBA.116",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.