Active NPI
Morella Morales de Diquez
- Assistant Behavior Analyst
- Deerfield Beach, FL
National Provider Identifier
1588152136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- A672
- Practice address
- 500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817 - Phone
- (754) 264-0838
- NPI assigned
- Apr 30, 2018
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | A672 | NC | Primary |
Addresses
Primary practice location
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Mailing address
525 N Tryon St
Charlotte, NC 28202-0202
Phone (855) 832-6727
Other practice location 1
13550 SW 88th St Ste 220
Miami, FL 33186-1513
Phone (305) 967-8787
Other practice location 2
134 Infield Ct
Mooresville, NC 28117-8026
Phone (704) 799-6824
Other practice location 3
16415 Northcross Dr Ste F
Huntersville, NC 28078-5001
Phone (704) 799-6824
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A672 | NC | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lolly Therapeutics, LLC | Past | Accepting new patients | |
| Integrative Therapy Concepts | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Mooresville, NC
- NPI 1508849332
-
- Occupational Therapist
- Mooresville, NC
- NPI 1164847752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1588152136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282020202",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817",
"telephone_number": "754-264-0838"
}
],
"practiceLocations": [
{
"address_1": "13550 SW 88th St Ste 220",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331861513",
"country_code": "US",
"telephone_number": "305-967-8787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 Infield Ct",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281178026",
"country_code": "US",
"telephone_number": "704-799-6824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16415 Northcross Dr Ste F",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280785001",
"country_code": "US",
"telephone_number": "704-799-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES DE DIQUEZ",
"first_name": "MORELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NC",
"license": "A672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.