Dayra Vanessa Diaz-Gonzalez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37198

Practice address

6100 Veterans Pkwy Ste 11
Columbus, GA 31909-3514

Phone

(706) 221-8966

NPI assigned

Jan 15, 2018

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

Other identifiers 1

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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1518475367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 VETERANS PKWY STE 11",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 VETERANS PKWY STE 11",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093514",
            "telephone_number": "706-221-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-GONZALEZ",
        "first_name": "DAYRA",
        "middle_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-37198",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPH",
            "identifier": "071423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Dialysis Clinic, Inc.
• Dialysis Clinic, Inc.
• Diamond Vision, Inc. (20/20 Eyecare)
• Gabriela Zoe Diaz-Gonzalez
• Magen Diaz
• Maria Betzabe Diaz, N/A
• Nadia Diaz
• John Patrick Diblasi, D.C.

• Behavior Analyst in Columbus, GA
• Providers in Columbus, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.