Organization Active NPI

Evolv Behavior, LLC

  • Behavior Analyst
  • Estero, FL
National Provider Identifier
1073417895
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVOLV BEHAVIOR, LLC
Practice address
19646 Deming LN
Estero, FL 33928-6561
Phone
(941) 500-3310
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Matthew Diaz, BCBA
Title
Owner
Phone
(941) 500-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

19646 Deming LN
Estero, FL 33928-6561

Mailing address

19646 Deming LN
Estero, FL 33928-6561

Other names 2

  • EVOLV Behavior Other name
  • EVOLV Behavior, LLC Other name

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1073417895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19646 DEMING LN",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 DEMING LN",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286561",
            "telephone_number": "941-500-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLV BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-500-3310",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVOLV Behavior",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EVOLV Behavior, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.