Stephanie Juliet Diaz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-323525 Issued in NU

Practice address

5881 NW 151St St Ste 127
Miami Lakes, FL 33014-2442

Phone

(786) 905-2262

Fax

(786) 398-5500

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Targeted Case Management of Florida, Inc

  dba Sweet Child Behavioral Health Program

  • Behavior Analyst
  • Miami Lakes, FL
  • NPI 1891295515
  NPD (past)

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1629831615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9686 FONTAINEBLEAU BLVD APT 702",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724140",
            "telephone_number": "786-651-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 127",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142442",
            "telephone_number": "786-905-2262",
            "fax_number": "786-398-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "STEPHANIE",
        "middle_name": "JULIET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-24-323525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loraine Diaz
• Maury Diaz, OTR/L
• Raul H. Diaz, PT
• Roy Diaz, DPT
• Samantha Diaz
• Tania Diaz, PSYD
• Yanelis Diaz
• Diazgarcia Newlife Medihospitalgroup Inc
• Jesenia Diego
• Enrique B Dieguez, M.D.

• Behavior Technician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.