Jorge Diaz de Villegas

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-26-89041 Issued in FL

Practice address

2119 10TH Ave N
Lake Worth Beach, FL 33461-3345

Phone

(561) 444-2814

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1073295457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 WOODSTONE CIR N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334635821",
            "telephone_number": "786-527-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 10TH AVE N",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334613345",
            "telephone_number": "561-444-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3175 S Congress Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334612502",
            "country_code": "US",
            "telephone_number": "561-822-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ DE VILLEGAS",
        "first_name": "JORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-89041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin A Dacres, APRN
• David Jonathan Dejesus, LCSW
• Rachel Delgado Gonzalez
• Dennis a. Hernandez, D.M.D., P.a.
• Samantha Derilus, DC
• Maria Karla Diaz Godinez
• Daiyalis Diaz Vivas, RBT
• Lismary Diaz
• Catherine Doe, LMHC
• Donas Place

• Behavior Analyst in Lake Worth Beach, FL
• Providers in Lake Worth Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.