Maybel Diaz Nieves
Individual provider Active NPI Behavior Analyst · Dania Beach, FL
NPI 1366079964 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1366079964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 810 NW 9TH Ave
Dania Beach, FL 33004-2336 - Phone
- (954) 607-9963
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
810 NW 9TH Ave
Dania Beach, FL 33004-2336
Mailing address
810 NW 9TH Ave
Dania Beach, FL 33004-2336
Phone (954) 607-9963
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All providers in Dania Beach, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.