Active NPI
Keisha Medina Diaz
- Behavior Technician
- Bethesda, MD
National Provider Identifier
1497414007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Attn: Behavioral Health Works 6701 Democracy Blvd.
Suite 300
Bethesda, MD 20817 - Phone
- (800) 249-1266
- NPI assigned
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
Attn: Behavioral Health Works 6701 Democracy Blvd.
Suite 300
Bethesda, MD 20817
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
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": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1497414007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 E ORANGEWOOD AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ATTN: BEHAVIORAL HEALTH WORKS 6701 DEMOCRACY BLVD.",
"address_2": "SUITE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817",
"telephone_number": "800-249-1266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA DIAZ",
"first_name": "KEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.