Dianna Katherine Poulos , MA, BCBA
Behavior Analyst • Island Lake, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dianna Poulos has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dianna Poulos, MA, BCBA was a registered Behavior Analyst practicing in Island Lake, IL. Throughout an active medical career spanning 18 years, Dianna Poulos provided care at the practice location at 4363 WATERS EDGE DR until profile deactivation on 2026-04-30.
Practice Location & Contact Primary Location
4363 Waters Edge Dr
Island Lake, IL 600428221
Specialty Benchmarks & Practice Insights
Comparative analytics for Behavior Analyst in Island Lake, IL
Practicing in Island Lake, IL (3105 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103K00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 30, 2026
NPI status registered as active in NPPES database
Registered at 4363 WATERS EDGE DR, ISLAND LAKE, IL 600428221 (Tel: 8473315370)
Registered at 4363 WATERS EDGE DR, ISLAND LAKE, IL 600428221 (Tel: 8473315370)
Recorded as DIANNA POULOS, M.A.,BCBA
Behavior Analyst (License #1-09-6494 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4363 Waters Edge Dr
Island Lake, IL 600428221
Phone: 8473315370
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