NPI 1164823845 · live from the CMS NPI Registry
Jeffrey Diksa, BCBA
Behavior Analyst in Wilmington, DE. National Provider Identifier 1164823845, active.
NPI record
| NPI | 1164823845 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 500 Delaware Ave Ste 102, Wilmington, DE 19801 |
| Practice phone | 610-836-2627 |
| Mailing address | 542 Amherst St Ste B, Nashua, NH 03063 |
| Enumerated | September 12, 2014 |
| Last updated | May 20, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-14-15909 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.