Active NPI
Diamond Mackenzie Via
- Behavior Technician
- Louisville, KY
National Provider Identifier
1871368183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-284843
- Practice address
- 1230 Liberty Bank LN Ste 230
Louisville, KY 40222-5756 - Phone
- (502) 792-9269
- NPI assigned
- Nov 16, 2023
- 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 Technician | 106S00000X | RBT-23-284843 | KY | Primary |
Addresses
Primary practice location
1230 Liberty Bank LN Ste 230
Louisville, KY 40222-5756
Mailing address
309 W Shannon LN Apt 12
Shepherdsville, KY 40165-4919
Phone (502) 773-1953
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-284843 | KY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1871368183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W SHANNON LN APT 12",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401654919",
"telephone_number": "502-773-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 LIBERTY BANK LN STE 230",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225756",
"telephone_number": "502-792-9269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIA",
"first_name": "DIAMOND",
"middle_name": "MACKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": "RBT-23-284843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.