Active NPI
Amanda Diaz
- Behavior Technician
- Doral, FL
National Provider Identifier
1053965939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-79749
- Practice address
- 9600 NW 25TH St Ste 5C
Doral, FL 33172-1416 - Phone
- (305) 522-9889
- Fax
- (786) 803-8273
- NPI assigned
- Jul 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-79749 | FL | Primary |
Addresses
Primary practice location
9600 NW 25TH St Ste 5C
Doral, FL 33172-1416
Mailing address
9600 NW 25TH St Ste 5C
Doral, FL 33172-1416
Phone (305) 522-9889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-79749 | Other | FL | BCBA |
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 |
|---|---|---|---|
| RBT-19-79749 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Therapy Services Corp | Current | Accepting new patients | |
| D-Way Therapy Services Corp | Behavior Technician | Current | Accepting new patients |
| Right-Way Therapy Services Inc | Single Specialty | Current | Accepting new patients |
Locations
9600 NW 25th St
Ste 5C
Doral, FL 33172
Phone (305) 522-9889
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1033895164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1053965939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 NW 25TH ST STE 5C",
"city": "DORAL",
"state": "FL",
"postal_code": "331721416",
"telephone_number": "305-522-9889",
"fax_number": "786-803-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 NW 25TH ST STE 5C",
"city": "DORAL",
"state": "FL",
"postal_code": "331721416",
"telephone_number": "305-522-9889",
"fax_number": "786-803-8273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-79749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "RBT-19-79749",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.