Individual provider Active NPI

Erika Priscila Diaz, BT

  • Behavior Technician
  • Tomball, TX
National Provider Identifier
1275106874
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
14426 Medical Complex Dr Ste 106
Tomball, TX 77377-6253
Phone
(281) 205-8421
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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 Primary

Addresses

Primary practice location

14426 Medical Complex Dr Ste 106
Tomball, TX 77377-6253

Mailing address

14426 Medical Complex Dr Ste 106
Tomball, TX 77377-6253
Phone (281) 205-8421

Other identifiers 1

IdentifierTypeStateIssuer
1154938256OtherINSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tomball@successonthespectrum.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
Credentials
Bachelor of Theology

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1275106874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14426 MEDICAL COMPLEX DR STE 106",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776253",
            "telephone_number": "281-205-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14426 MEDICAL COMPLEX DR STE 106",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776253",
            "telephone_number": "281-205-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ERIKA",
        "middle_name": "PRISCILA",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1154938256",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tomball@successonthespectrum.com",
            "affiliation": "N",
            "address_1": "14426 Medical Complex Dr Ste 106",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773776253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.