Dietz, Carly
Dietz, Carly is an individual health care provider with primary practice located at 99 E 86Th Ave Ste F , Merrillville IN 46410-6267. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Dietz, Carly can be contacted via phone (219) 616-4612.Contact Information
Primary practice address
99 E 86Th Ave Ste F
Merrillville IN 46410-6267
Phone: (219) 616-4612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-42703 | Indiana |
Profile Details
| NPI number | 1639662398 |
|---|---|
| LBN Legal business name | Dietz, Carly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2018 |
| Last updated | Aug 19th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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