Divergent Minds ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DIVERGENT MINDS ABA LLC

Practice address

108 New Edition CT
Cary, NC 27511-4449

Phone

(919) 377-2198

NPI assigned

Jun 2, 2023

Last updated

Feb 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Ziobro, BCBANPI 1932643889

Title

Owner

Phone

(810) 922-3464

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Lynn Ziobro

  • Behavior Analyst
  • Fayetteville, NC
  • NPI 1932643889
  NPD Authorized official
• Kierra Quick

  • Behavior Technician
  • Cary, NC
  • NPI 1942049473
  NPD
• Emily Caroline McCullock

  • Behavior Analyst
  • Cary, NC
  • NPI 1811818834
  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1952095044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 APPALACHIN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEW EDITION CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114449",
            "telephone_number": "919-377-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT MINDS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "ZIOBRO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-922-3464",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Hope Dirienzo, DMD
• Saige Mikel Dirksen, MSW, LCSWA, LCASA
• Disease Prevention
• Bupathi Dissanayake-Musalem, O.D.
• Jaclyn J Ditter, M.S,LPC-A, LCAS-A
• Carlelle Dixon, MSW, LCSWA
• Franchesca Deanna Dixon
• Peninnah Dixon
• DJM Home Healthcare LLC
• Geoffrey Francis Djomoah

• Behavior Analyst in Cary, NC
• Providers in Cary, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.