Dianndra Yadyra Ibarra, RBT-21-173019
Individual provider Active NPI Behavior Technician · Goulds, FL
NPI 1023768587 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1023768587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-173019 (FL)
- Practice address
- 11276 SW 232ND St
Goulds, FL 33170-7505 - Phone
- (305) 912-8399
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-173019 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-173019 | FL | Yes |
Addresses
Primary practice location
11276 SW 232ND St
Goulds, FL 33170-7505
Mailing address
1211 NE 12TH Ave Apt 104
Homestead, FL 33030-5046
Phone (786) 407-8111
Other providers in Goulds, FL
- Iracelys Gonzalez Paz
- Ricardo Guerra Betancourt
- Cheila Guerra Gil
- Michelle Angelina Hernandez
- Arely Herrera
- Yannira Andrea Ibarra
- Yuryen Linares Rodriguez
- Jennifer Martinez Fabelo
- Ana Lucila Osejo
- Angie Nicole Pardo
All providers in Goulds, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.