Individual provider Active NPI

Maria Teresa Vega Diaz, BCBA

  • Behavior Analyst
  • Lake Worth, FL
National Provider Identifier
1457861163
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46268 Issued in FL
Practice address
1028 N Federal Hwy
Lake Worth, FL 33460-2352
Phone
(561) 909-8980
Fax
(561) 429-6889
NPI assigned
Oct 8, 2017
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-46268 FL Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1028 N Federal Hwy
Lake Worth, FL 33460-2352

Mailing address

1028 N Federal Hwy
Lake Worth, FL 33460-2352
Phone (561) 909-8980

Other practice location 1

3300 W 84th St Unit 10
Hialeah, FL 33018-4909
Phone (305) 335-0407

Other identifiers 1

IdentifierTypeStateIssuer
022696000MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Witty Learning Inc Behavior Analyst Current Accepting new patients
Witty Learning Center Current Accepting new patients

Locations

1028 N Federal Hwy
Lake Worth Beach, FL 33460
Phone (561) 909-8980

1505 N Federal Hwy
Lake Worth Beach, FL 33460
Phone (561) 533-7475

16030 Okeechobee Blvd
Loxahatchee, FL 33470
Phone (786) 250-9854

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1457861163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602352",
            "telephone_number": "561-909-8980",
            "fax_number": "561-429-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602352",
            "telephone_number": "561-909-8980",
            "fax_number": "561-429-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 W 84th St Unit 10",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330184909",
            "country_code": "US",
            "telephone_number": "305-335-0407",
            "fax_number": "561-429-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA DIAZ",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-46268",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022696000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.