Dianelys Caridad Corrales Leon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

C642-163-63-702-0 Issued in FL

Practice address

152 Longfellow Dr
Palm Springs, FL 33461-2034

Phone

(786) 768-4012

NPI assigned

Feb 20, 2025

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1215733290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 LONGFELLOW DR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612034",
            "telephone_number": "786-768-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LONGFELLOW DR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612034",
            "telephone_number": "786-768-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES LEON",
        "first_name": "DIANELYS",
        "middle_name": "CARIDAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "C642-163-63-702-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.