Provider Demographics
NPI:1225676638
Name:DRAGHI, DIANA LYNN (RBT, BCBA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:LYNN
Last Name:DRAGHI
Suffix:
Gender:F
Credentials:RBT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 SHILOH RD NW STE 2020
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7199
Mailing Address - Country:US
Mailing Address - Phone:470-836-0699
Mailing Address - Fax:470-922-5246
Practice Address - Street 1:1275 SHILOH RD NW STE 2020
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7199
Practice Address - Country:US
Practice Address - Phone:470-836-0699
Practice Address - Fax:470-922-5246
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-19-108304106S00000X
106S00000X
1-21-49982103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician