Active NPI
Diego Coral
- Behavior Technician
- Boca Raton, FL
National Provider Identifier
1003648098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7601 N Federal Hwy Ste 150a
Boca Raton, FL 33487-1663 - Phone
- (754) 399-8507
- NPI assigned
- Aug 17, 2024
- Last updated
- Aug 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
7601 N Federal Hwy Ste 150a
Boca Raton, FL 33487-1663
Mailing address
3605 NW 17TH Way Apt 105
Oakland Park, FL 33309-5863
Phone (954) 708-4933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1003648098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 NW 17TH WAY APT 105",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095863",
"telephone_number": "954-708-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 N FEDERAL HWY STE 150A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871663",
"telephone_number": "754-399-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORAL",
"first_name": "DIEGO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Thomas Aristides Copulos, D.D.S
- Joseph V Copulsky, MD
- Cora Health Services Inc (CORA Physical Therapy - East Boca)
- Cora Health Services, Inc (CORA Physical Therapy - West Boca Raton)
- Coral Ridge Anesthesia Services, LLC
- Bianca Corchado, MSW
- Luisa Maria Cordeiro Anderson
- Kayla Cordeiro, MSW
- Pamela Karie Cordero Garcia
- Juan Manuel Cordero Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.