Individual provider Active NPI

Liesbel Diaz Chavez Sr.

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1265259246
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-342772 Issued in FL
Practice address
1154 Lee Blvd Ste 6
Lehigh Acres, FL 33936-4852
Phone
(239) 491-2603
Fax
(239) 674-7392
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-342772 FL Primary

Addresses

Primary practice location

1154 Lee Blvd Ste 6
Lehigh Acres, FL 33936-4852

Mailing address

800 Greyhound Ave N
Lehigh Acres, FL 33971-4930
Phone (239) 922-0750

Other practice location 1

708 Goodlette-Frank Rd N Ste 1
Naples, FL 34102-5644
Phone (239) 351-0675

Other practice location 2

1591 Hayley Ln Ste 101
Fort Myers, FL 33907-2121
Phone (239) 288-6046

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
RBT-24-342772FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Well Health Center LLC PastSince Jun 15, 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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1265259246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GREYHOUND AVE N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339714930",
            "telephone_number": "239-922-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD STE 6",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-491-2603",
            "fax_number": "239-674-7392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Goodlette-Frank Rd N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025644",
            "country_code": "US",
            "telephone_number": "239-351-0675",
            "fax_number": "239-310-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1591 Hayley Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339072121",
            "country_code": "US",
            "telephone_number": "239-288-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ CHAVEZ",
        "first_name": "LIESBEL",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-342772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.