Individual provider Active NPI

Yiseet Fajardo Diaz

  • Behavior Technician
  • Lakeland, FL
National Provider Identifier
1275359119
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-375422 Issued in FL
Practice address
315 Pico CT
Lakeland, FL 33809-4234
Phone
(863) 602-2594
NPI assigned
Nov 25, 2024
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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-24-375422 FL Primary

Addresses

Primary practice location

315 Pico CT
Lakeland, FL 33809-4234

Mailing address

315 Pico CT
Lakeland, FL 33809-4234
Phone (863) 602-2594

Other practice location 1

13424 Fort King Rd
Dade City, FL 33525-5214
Phone (352) 584-2627

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-24-375422FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter World, LLC PastSince Oct 1, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1275359119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PICO CT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094234",
            "telephone_number": "863-602-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PICO CT",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094234",
            "telephone_number": "863-602-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13424 Fort King Rd",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335255214",
            "country_code": "US",
            "telephone_number": "352-584-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO DIAZ",
        "first_name": "YISEET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-375422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.