Alyssa Nicole Diaz
Individual provider Active NPI Behavior Analyst · Goulds, FL
NPI 1104512250 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1104512250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-26-88122 (FL)
- Practice address
- 11276 SW 232ND St
Goulds, FL 33170-7505 - Phone
- (305) 912-8399
- NPI assigned
- Apr 12, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-265382 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-26-88122 | FL | Yes |
Addresses
Primary practice location
11276 SW 232ND St
Goulds, FL 33170-7505
Mailing address
15617 SW 62ND Ter
Miami, FL 33193-2583
Phone (786) 307-8113
Other providers in Goulds, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.