Individual provider Active NPI

Daniel Diaz Pando

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1558805069
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-1-26-90845 Issued in FL
Practice address
20541 SW 79TH CT
Cutler Bay, FL 33189-2184
Phone
(786) 991-3706
Fax
(786) 206-7074
NPI assigned
Dec 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 BCBA-1-26-90845 FL Primary
Assistant Behavior Analyst 106E00000X BCABA-0-21-13217 FL

Addresses

Primary practice location

20541 SW 79TH CT
Cutler Bay, FL 33189-2184

Mailing address

20541 SW 79TH CT
Cutler Bay, FL 33189-2184
Phone (786) 991-3706

Other identifiers 1

IdentifierTypeStateIssuer
019539000MedicaidFL

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
Behavior Therapy for Kids Behavior Analyst Current Accepting new patients
ABA Clinical Support Inc Behavior Analyst CurrentSince Nov 13, 2022 Accepting new patients
Silk Gloves Therapy Inc Behavior Analyst PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 3

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1558805069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20541 SW 79TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892184",
            "telephone_number": "786-991-3706",
            "fax_number": "786-206-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20541 SW 79TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892184",
            "telephone_number": "786-991-3706",
            "fax_number": "786-206-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PANDO",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-19",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-1-26-90845",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "BCABA-0-21-13217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019539000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.