Active NPI
Thais Diaz Amador
- Behavior Analyst
- Hialeah, FL
National Provider Identifier
1275148595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72020
- Practice address
- 5430 W 4TH Ave
Hialeah, FL 33012-2531 - Phone
- (786) 304-0217
- NPI assigned
- Sep 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-131539 | FL | |
| Behavior Analyst | 103K00000X | 1-24-72020 | FL | Primary |
Addresses
Primary practice location
5430 W 4TH Ave
Hialeah, FL 33012-2531
Mailing address
5430 W 4TH Ave
Hialeah, FL 33012-2531
Phone (786) 304-0217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-131539 | Other | FL | BCAB |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-131539 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711756800000",
"number": "1275148595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 W 4TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330122531",
"telephone_number": "786-304-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 W 4TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330122531",
"telephone_number": "786-304-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ AMADOR",
"first_name": "THAIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2024-03-30",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-131539",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-72020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCAB",
"identifier": "RBT-20-131539",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.