Diana Elaine Hafely, RBT, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-20-10735 Issued in OH

Practice address

1704 North Rd SE Ste 2
Warren, OH 44484-2958

Phone

(330) 856-4111

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1740899038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 NORTH RD SE STE 2",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842958",
            "telephone_number": "330-856-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 NORTH RD SE STE 2",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842958",
            "telephone_number": "330-856-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFELY",
        "first_name": "DIANA",
        "middle_name": "ELAINE",
        "credential": "RBT, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "OH",
            "license": "0-20-10735",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-16-24378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assistant Behavior Analyst in Warren, OH
• Providers in Warren, OH by specialty
• Assistant Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.