Yudith Diaz Gazan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

11420 SW 47TH Ter
Miami, FL 33165-5518

Phone

(786) 594-1901

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Liam Support Services LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1326558438
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1588254759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 SW 47TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655518",
            "telephone_number": "786-594-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 SW 47TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655518",
            "telephone_number": "786-594-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GAZAN",
        "first_name": "YUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angie29cu@yahoo.es",
            "affiliation": "N",
            "address_1": "11420 SW 47th Ter",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331655518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriela Diaz Garcia
• Luis Osmani Diaz Garcia
• Odalys Diaz Garcia
• Yazmin Diaz Garcia
• Dayami Diaz Garrido
• Barbara Daniela Diaz Gil, RBT
• Nataly De la Caridad Diaz Gomez
• Suleimis Diaz Gomez
• Edurne Diaz Gonzalez
• Elizabeth Diaz Gonzalez

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.