Individual provider Active NPI

Maria Karla Diaz Godinez

  • Behavior Technician
  • Lake Worth Beach, FL
National Provider Identifier
1326898545
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-331764 Issued in FL
Practice address
2119 10TH Ave N
Lake Worth Beach, FL 33461-3345
Phone
(561) 444-2814
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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-24-331764 FL Primary

Addresses

Primary practice location

2119 10TH Ave N
Lake Worth Beach, FL 33461-3345

Mailing address

612 Hudson Rd
West Palm Beach, FL 33405-1531
Phone (561) 528-4314

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-24-331764FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1326898545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 HUDSON RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051531",
            "telephone_number": "561-528-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 10TH AVE N",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334613345",
            "telephone_number": "561-444-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GODINEZ",
        "first_name": "MARIA",
        "middle_name": "KARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-331764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.