Marina Diaz, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4070 Issued in TX

Practice address

24200 Ih 10 W Ste 109
San Antonio, TX 78257-1150

Phone

(210) 263-9443

Fax

(726) 999-2625

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lone Star Urgent Care Managers, LLC

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1659943983

  Behavior Analyst

  NPD
• Blossom Center for Children LLC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1881991990
  NPD (past)
• Cole Consolidated Rehab LLC

  • Rehabilitation Clinic/Center
  • San Marcos, TX
  • NPI 1023328192
  NPD (past)
• Little Spurs Developmental and Behavioral Pediatrics, PLLC

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
  • NPI 1306583646
  NPD (past)

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1316447154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 IH 10 W STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571150",
            "telephone_number": "210-263-9443",
            "fax_number": "726-999-2625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6051 Fm 3009 Ste 215",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781543433",
            "country_code": "US",
            "telephone_number": "830-420-6200",
            "fax_number": "830-420-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14235 Blanco Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782167718",
            "country_code": "US",
            "telephone_number": "210-415-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Diaz, LVN
• Katherine Diaz
• Kimberly I Diaz, PA-C
• Leslie Lauren Diaz, LCSW
• Mabel Diaz, LPC
• Marisa D Diaz, PHD INTERN
• Marissa Janae Diaz
• Marlen Caballero Diaz, APRN-CNP
• Martha Iliana Diaz
• Mayra Diaz, REGISTERED DIETITIAN

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.