Active NPI
Veronica Diaz, MA, BCBA
- Behavior Analyst
- Kingwood, TX
National Provider Identifier
1356714240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-38252
- Practice address
- 22001 Northpark Dr Ste 400
Kingwood, TX 77339-3809 - Phone
- (281) 223-5300
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-38252 | CA | Primary |
Addresses
Primary practice location
22001 Northpark Dr Ste 400
Kingwood, TX 77339-3809
Mailing address
16911 Ruellia Field Rd
Humble, TX 77346-4729
Phone (626) 487-9494
Other practice location 1
2155 Chicago Ave Ste 203
Riverside, CA 92507-2209
Phone (951) 880-0750
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospera Healthcare Texas LLC | Behavior Analyst | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Flower Mound, TX
- NPI 1699359372
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1356714240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16911 RUELLIA FIELD RD",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773464729",
"telephone_number": "626-487-9494",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22001 NORTHPARK DR STE 400",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393809",
"telephone_number": "281-223-5300"
}
],
"practiceLocations": [
{
"address_1": "2155 Chicago Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925072209",
"country_code": "US",
"telephone_number": "951-880-0750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "VERONICA",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-38252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.