Active NPI
Diana Rosa Aviles Gomez
- Behavior Technician
- Winter Haven, FL
National Provider Identifier
1265221527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 150 3Rd St SW Ste 109
Winter Haven, FL 33880-2980 - Phone
- (863) 272-0307
- NPI assigned
- May 3, 2025
- Sex
- Female
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
150 3Rd St SW Ste 109
Winter Haven, FL 33880-2980
Mailing address
3473 Bellingham Dr
Orlando, FL 32825-7155
Phone (407) 749-3049
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746230400000",
"number": "1265221527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3473 BELLINGHAM DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328257155",
"telephone_number": "407-749-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 3RD ST SW STE 109",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338802980",
"telephone_number": "863-272-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES GOMEZ",
"first_name": "DIANA",
"middle_name": "ROSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-03",
"last_updated": "2025-05-03",
"certification_date": "2025-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.