KIMBERLY DITERLIZZI MS, BCBA
NPI 1639642630
Behavior Analyst in Palm City, FL

Q: What is Kimberly Diterlizzi's NPI number?

The NPI number for Kimberly Diterlizzi is 1639642630. It was assigned to this individual provider in the NPPES registry on January 2, 2019. The provider is also known as Kimberly Jeacoma.

Q: What is Kimberly Diterlizzi's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since January 02, 2019

1532 SW MAPP RD, PALM CITY, FL 34990(772) 678-6704 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 16, 2022, Dec 3, 2021, Jan 2, 2019 (3 updates tracked since 2019).

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About Kimberly Diterlizzi Ms, Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY DITERLIZZI MS, BCBA (NPI 1639642630) is an individual behavior analyst provider in Palm City, Florida, licensed in Florida (1-18-33428) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1639642630

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKIMBERLY DITERLIZZICredential: MS, BCBA

Location Address1532 SW MAPP RDPalm City, FL 34990-2446

Mailing Address1532 Sw Mapp RdPalm City, FL 34990-2446 · (772) 678-6704

Phone(772) 678-6704

Sole ProprietorNo

Enumeration DateJanuary 2, 2019

Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration

NPPES CertifiedAugust 16, 2022

✔ NPI 1639642630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-18-33428

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

1532 SW MAPP RD, Palm City, FL 34990

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Other Names 1

Former Name (1)Kimberly Jeacoma

Other Identifiers 1

Medicaid019641000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER LACHARITE MS,BCBA

Behavior Analyst