Active NPI
Laura Victoria Diaz
- Behavior Analyst
- Hialeah, FL
National Provider Identifier
1043968407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65793
- Practice address
- 17240 NW 74TH Path
Hialeah, FL 33015-7111 - Phone
- (239) 465-5270
- NPI assigned
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 21-169050 | FL | |
| Behavior Analyst | 103K00000X | 1-23-65793 | FL | Primary |
Addresses
Primary practice location
17240 NW 74TH Path
Hialeah, FL 33015-7111
Mailing address
17240 NW 74TH Path
Hialeah, FL 33015-7111
Phone (239) 465-5270
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-169050 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1043968407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17240 NW 74TH PATH",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330157111",
"telephone_number": "239-465-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17240 NW 74TH PATH",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330157111",
"telephone_number": "239-465-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LAURA",
"middle_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "21-169050",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-65793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.