Genesis Beatriz Regalado Diaz

Individual provider Active NPI Behavior Technician · Miami Lakes, FL

NPI 1083129803 · NPPES record last updated Dec 4, 2017

Key facts

NPI
1083129803
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532
Phone
(305) 827-2822
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532

Mailing address

3473 W Flagler St
Miami, FL 33135-1025

Other providers in Miami Lakes, FL

All providers in Miami Lakes, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.