Individual provider Active NPI

Krista Dipaola, BCBA

  • Behavior Analyst
  • Commerce TWP, MI
National Provider Identifier
1992107452
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000356 Issued in MI
Practice address
4231 Bluebird Dr
Commerce TWP, MI 48382-4009
Phone
(248) 563-9845
NPI assigned
Sep 16, 2014
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7401000356 MI Primary

Addresses

Primary practice location

4231 Bluebird Dr
Commerce TWP, MI 48382-4009

Mailing address

4231 Bluebird Dr
Commerce TWP, MI 48382-4009
Phone (248) 563-9845

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

LicenseStateTypeSpecialty
7401000356MIMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1992107452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 BLUEBIRD DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824009",
            "telephone_number": "248-563-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 BLUEBIRD DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824009",
            "telephone_number": "248-563-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPAOLA",
        "first_name": "KRISTA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.