Individual provider Active NPI

Diane Oliver Donahue, BCBA, ITDS

  • Behavior Analyst
  • Stuart, FL
National Provider Identifier
1952607038
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-9625 Issued in FL
Practice address
2569 SE Springtree PL
Stuart, FL 34997-8577
Phone
(772) 223-6275
Fax
(772) 223-6275
NPI assigned
Feb 7, 2011
Last updated
Jun 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-9625 FL Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

2569 SE Springtree PL
Stuart, FL 34997-8577

Mailing address

9150 SW 21St Dr
Stuart, FL 34997-7925
Phone (772) 223-6275

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast ABA Services Behavior Analyst CurrentSince Jul 24, 2022 Accepting new patients

Locations

3585 SW Corporate Pkwy
Palm City, FL 34990
Phone (772) 222-5560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1952607038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 SW 21ST DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977925",
            "telephone_number": "772-223-6275",
            "fax_number": "772-223-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 SE SPRINGTREE PL",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978577",
            "telephone_number": "772-223-6275",
            "fax_number": "772-223-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "DIANE",
        "middle_name": "OLIVER",
        "credential": "BCBA, ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-9625",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.