Active NPI
Eric Alberto Diaz, RBT
- Behavior Technician
- Miami, FL
National Provider Identifier
1619797875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1201864
- Practice address
- 7344 SW 48TH St Ste 103
Miami, FL 33155-5521 - Phone
- (786) 210-2765
- NPI assigned
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 Technician | 106S00000X | BACB1201864 | FL | Primary |
Addresses
Primary practice location
7344 SW 48TH St Ste 103
Miami, FL 33155-5521
Mailing address
12241 SW 2ND St
Miami, FL 33184-1501
Phone (786) 355-4762
Other practice location 1
12241 SW 2nd St
Miami, FL 33184-1501
Phone (786) 355-4762
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 |
|---|---|---|---|
| BACB1201864 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1619797875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12241 SW 2ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331841501",
"telephone_number": "786-355-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7344 SW 48TH ST STE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555521",
"telephone_number": "786-210-2765"
}
],
"practiceLocations": [
{
"address_1": "12241 SW 2nd St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331841501",
"country_code": "US",
"telephone_number": "786-355-4762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "ERIC",
"middle_name": "ALBERTO",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB1201864",
"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 Oct 14, 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.