Individual provider Active NPI

Niurys Rivera Diaz

  • Behavior Technician
  • Miramar, FL
National Provider Identifier
1114503521
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-126033 Issued in FL
Practice address
11201 SW 55TH St Unit 88
Miramar, FL 33025-3105
Phone
(786) 716-9222
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X 20-126033 FL Primary

Addresses

Primary practice location

11201 SW 55TH St Unit 88
Miramar, FL 33025-3105

Mailing address

11201 SW 55TH St Unit 88
Miramar, FL 33025-3105
Phone (786) 716-9222

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

LicenseStateTypeSpecialty
20-126033FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aye Counselor & Behavior Therapy Inc Single Specialty PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1114503521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SW 55TH ST UNIT 88",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253105",
            "telephone_number": "786-716-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SW 55TH ST UNIT 88",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253105",
            "telephone_number": "786-716-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DIAZ",
        "first_name": "NIURYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-126033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.