Active NPI
Megan Rose Dimartino, M.S., BCBA
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1841564408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-10266
- Practice address
- 9850 Westpoint Dr Ste 650
Indianapolis, IN 46256-3380 - Phone
- (818) 241-6780
- Fax
- (818) 241-6853
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-12-10266 | AL | Primary |
Addresses
Primary practice location
9850 Westpoint Dr Ste 650
Indianapolis, IN 46256-3380
Mailing address
PO Box 767938
Roswell, GA 30076-7938
Phone (818) 241-6780
Other practice location 1
4315 Golf Club Dr
1712
Auburn, AL 36830-5836
Phone (313) 515-0448
Other practice location 2
612 W Lake Lansing Rd Ste 400
East Lansing, MI 48823-8528
Phone (818) 241-6780
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1841564408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 767938",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300767938",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 WESTPOINT DR STE 650",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563380",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853"
}
],
"practiceLocations": [
{
"address_1": "4315 Golf Club Dr",
"address_2": "1712",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368305836",
"country_code": "US",
"telephone_number": "313-515-0448",
"fax_number": "334-252-1282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 W Lake Lansing Rd Ste 400",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488238528",
"country_code": "US",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMARTINO",
"first_name": "MEGAN",
"middle_name": "ROSE",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-29",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "1-12-10266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.