Active NPI
Chrisopher Gonzalez Diaz, RBT
- Behavior Analyst
- Miami Gardens, FL
National Provider Identifier
1144974775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-20-136830
- Practice address
- 18646 NW 53Rd Ave
Miami Gardens, FL 33055-5307 - Phone
- (305) 680-6417
- NPI assigned
- Feb 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-20-136830 | FL | Primary |
Addresses
Primary practice location
18646 NW 53Rd Ave
Miami Gardens, FL 33055-5307
Mailing address
18646 NW 53Rd Ave
Miami Gardens, FL 33055-5307
Phone (305) 680-6417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1085698000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-136830 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1144974775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18646 NW 53RD AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330555307",
"telephone_number": "305-680-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18646 NW 53RD AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330555307",
"telephone_number": "305-680-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "CHRISOPHER",
"middle_name": "GONZALEZ",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT-20-136830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1085698000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.