Lissainet Diaz, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53255 Issued in FL

Practice address

3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387

Phone

(305) 807-1909

NPI assigned

Mar 8, 2017

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1467992594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9143 SW 77TH AVE APT B803",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567656",
            "telephone_number": "786-346-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 OAKS WAY APT 904",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695387",
            "telephone_number": "305-807-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2992 nw 49 st",
            "address_purpose": "LOCATION",
            "city": "miami",
            "state": "FL",
            "postal_code": "33142",
            "country_code": "US",
            "telephone_number": "786-346-1123",
            "fax_number": "305-742-2190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9143 SW 77th Ave Apt B803",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567656",
            "country_code": "US",
            "telephone_number": "786-346-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LISSAINET",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53255",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana C Hodarnau MD PA
• Jefferson Dias, APRN
• Ebony Cruz Inez Diaz
• Edith Diaz, BS
• Juliet Adela Diaz
• Laura Kathleen Dibenedetto
• Justin Dichiara
• Robert E Dickerson
• Daniel Dicristofaro, D.C.
• Digi Psychotherapy Services, Inc.

• Behavior Analyst in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.