Anthony Diaz Fuentes, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-117960 Issued in FL

Practice address

8925 NW 117TH St
Hialeah Gardens, FL 33018-4139

Phone

(786) 620-4600

NPI assigned

Dec 16, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lacosta Therapy, LLC

  • Behavior Analyst
  • Miami Springs, FL
  • NPI 1093224271

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1003402835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 NW 117TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184139",
            "telephone_number": "786-620-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 NW 117TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184139",
            "telephone_number": "786-620-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ FUENTES",
        "first_name": "ANTHONY",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-117960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106440300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delgarro Physical Therapy Center, Corp.
• Osmin Delvalle, LMT
• Diagnostic Center of America Inc
• Erika Diaz Castillo
• Ledianne Diaz Diaz
• Caridad Diaz Soler
• Anelis Diaz-Maseda
• Amanda C Diaz
• Ashley Diaz
• Diadenis Diaz Sr., PERSONAL

• Behavior Technician in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.