Stephanie Diaz, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB508346 Issued in FL

Practice address

11441 Interchange Cir S
Miramar, FL 33025-6009

Phone

(305) 573-6333

Fax

(305) 573-6888

NPI assigned

Sep 11, 2019

Sex

Female

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

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1043869175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 NW 192ND LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152451",
            "telephone_number": "786-514-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11441 INTERCHANGE CIR S",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256009",
            "telephone_number": "305-573-6333",
            "fax_number": "305-573-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "STEPHANIE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB508346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D200780965240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilen Diaz, ARNP
• Jose A Diaz, PHYSICIAN ASSISTANT
• Kelly Diaz, RBT
• Leonel Diaz Jr., DO
• Luz M Diaz, PHARM.D.
• Veronica Diaz, RRT
• Nicole Dibella
• Christopher M Dickinson, M.D.
• Gisselle Dieguez, BEHAVIOR TECHNICIAN
• Lynda Dieubon

• Behavior Technician in Miramar, FL
• Providers in Miramar, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.