Individual provider Active NPI

Dianne Navas

  • Behavior Technician
  • Miami Springs, FL
National Provider Identifier
1194436972
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
540 Nightingale Ave
Miami Springs, FL 33166-3943
Phone
(754) 204-3704
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X N120165026080 FL
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

540 Nightingale Ave
Miami Springs, FL 33166-3943

Mailing address

540 Nightingale Ave
Miami Springs, FL 33166-3943
Phone (754) 204-3704

Other identifiers 1

IdentifierTypeStateIssuer
115409800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Diannenavaswwetheshield28@icloud.com

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
N120165026080FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1194436972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NIGHTINGALE AVE",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331663943",
            "telephone_number": "754-204-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NIGHTINGALE AVE",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331663943",
            "telephone_number": "754-204-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAS",
        "first_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "N120165026080",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115409800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Diannenavaswwetheshield28@icloud.com",
            "affiliation": "N",
            "address_1": "540 Nightingale Ave",
            "city": "Miami Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331663943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.