Julia Kristina Dibos, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-21159 Issued in MD

Practice address

58 Folly Road Blvd
Suite 200
Charleston, SC 29407-7582

Phone

(888) 547-2250

NPI assigned

Feb 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1972961712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1092",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327041092",
            "telephone_number": "888-547-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 FOLLY ROAD BLVD",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077582",
            "telephone_number": "888-547-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBOS",
        "first_name": "JULIA",
        "middle_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-15-21159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa A Diaz, MD
• Christopher Matthew Dibble, PHARM D
• Alex Dibona, M.D.
• Dee Ellen Dibona, MD
• Sydney Dibona
• Linda A. Dicamillo, AUD, CCC-A
• Tara Dicker, PHARMD
• Alissa Rodgers Dickerson, PA-C
• James William Dickert Jr., DMD
• Dane Richard Dickey, MD

• Behavior Analyst in Charleston, SC
• Providers in Charleston, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.