Fany Roosmery Diaz
Individual provider Active NPI Behavior Technician · Triangle, VA
NPI 1619777828 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1619777828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3496 Scelzi CT
Triangle, VA 22172-2125 - Phone
- (540) 422-3240
- NPI assigned
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3496 Scelzi CT
Triangle, VA 22172-2125
Mailing address
8700 Centreville Rd Ste 8696
Manassas, VA 20110-8430
Other providers in Triangle, VA
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- Monica E. Dontoh
- Ann Lockard Douthat
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All providers in Triangle, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.