Individual provider Active NPI

Yohandra Eulalia Galicia Diaz

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1609467604
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-122573 Issued in FL
Practice address
14951 SW 82ND LN Apt 504
Miami, FL 33193-3119
Phone
(786) 389-3705
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-122573 FL Primary

Addresses

Primary practice location

14951 SW 82ND LN Apt 504
Miami, FL 33193-3119

Mailing address

14951 SW 82ND LN Apt 504
Miami, FL 33193-3119
Phone (786) 389-3705

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

LicenseStateTypeSpecialty
RBT-20-122573FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1609467604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14951 SW 82ND LN APT 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933119",
            "telephone_number": "786-389-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14951 SW 82ND LN APT 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933119",
            "telephone_number": "786-389-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALICIA DIAZ",
        "first_name": "YOHANDRA",
        "middle_name": "EULALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-122573",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 1, 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.