Diana Pubillones
Individual provider Active NPI Behavior Technician · Miami, FL
NPI 1639714173 · NPPES record last updated Nov 7, 2019
Key facts
- NPI
- 1639714173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2141 SW 1St St Ste 103
Miami, FL 33135-1695 - Phone
- (305) 644-6024
- Fax
- (305) 644-6025
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coral CMHC Inc | Current |
Accepting new patients |
Locations
2141 SW 1st St
Ste 103
Miami, FL 33135
Phone (305) 644-6024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2141 SW 1St St Ste 103
Miami, FL 33135-1695
Mailing address
7001 W 35TH Ave
Hialeah, FL 33018-7114
Phone (305) 644-6024
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2019. 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.