Active NPI
Marcy Diaz
- Behavior Analyst
- Miami, FL
National Provider Identifier
1417416397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-06-2809
- Practice address
- 777 Brickell Ave Ste 500
Miami, FL 33131-2803 - Phone
- (305) 330-4660
- Fax
- (786) 217-1376
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-06-2809 | FL | Primary |
Addresses
Primary practice location
777 Brickell Ave Ste 500
Miami, FL 33131-2803
Mailing address
777 Brickell Ave Ste 500
Miami, FL 33131-2803
Phone (305) 330-4660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154667681 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1417416397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BRICKELL AVE STE 500",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312803",
"telephone_number": "305-330-4660",
"fax_number": "786-217-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BRICKELL AVE STE 500",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312803",
"telephone_number": "305-330-4660",
"fax_number": "786-217-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MARCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-06-2809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154667681",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.