Erick Diaz
Individual provider Active NPI Behavior Technician · Goulds, FL
NPI 1396501037 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1396501037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-326067 (FL)
- Practice address
- 11073 SW 224TH St
Goulds, FL 33170-6568 - Phone
- (786) 909-4030
- NPI assigned
- Feb 21, 2024
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-326067 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | RBT-24-326067 | FL | Yes |
Addresses
Primary practice location
11073 SW 224TH St
Goulds, FL 33170-6568
Mailing address
11073 SW 224TH St
Goulds, FL 33170-6568
Phone (786) 909-4030
Other providers in Goulds, FL
- Christian S Brito
- Hanyelines Cabrera
- Jennifer Yvonne Cruz
- Christian A Cuellar
- Alyssa Nicole Diaz
- Eduardo Dominguez Sanchez
- Brigette Gandarillas
- Jessica Gomes Ribeiro
- Iracelys Gonzalez Paz
- Ricardo Guerra Betancourt
All providers in Goulds, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 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.