Active NPI
Lourdes Diaz Reyes, BCBA
- Behavior Analyst
- Miami, FL
National Provider Identifier
1598074445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16542
- Practice address
- 7615 SW 129TH CT
Miami, FL 33183-4244 - Phone
- (786) 859-1068
- Fax
- (866) 275-3940
- NPI assigned
- Sep 27, 2010
- 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 Analyst | 103K00000X | 1-14-16542 | FL | Primary |
Addresses
Primary practice location
7615 SW 129TH CT
Miami, FL 33183-4244
Mailing address
7615 SW 129TH CT
Miami, FL 33183-4244
Phone (786) 859-1068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003720300 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Journey Together, Corp. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1720436330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1598074445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7615 SW 129TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331834244",
"telephone_number": "786-859-1068",
"fax_number": "866-275-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7615 SW 129TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331834244",
"telephone_number": "786-859-1068",
"fax_number": "866-275-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ REYES",
"first_name": "LOURDES",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-14-16542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003720300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.