Odette Campos Diaz
Individual provider Active NPI Behavior Technician · Labelle, FL
NPI 1649013111 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1649013111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-345935 (FL)
- Practice address
- 700 S Main St
Labelle, FL 33935-4440 - Phone
- (239) 544-8602
- NPI assigned
- Jun 13, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-345935 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-345935 | FL | Yes |
Addresses
Primary practice location
700 S Main St
Labelle, FL 33935-4440
Mailing address
409 Hollywood St
Lehigh Acres, FL 33936-1679
Other providers in Labelle, FL
- Diana Bocanegra
- Patricia A Brownlee
- Yoan Cabrisas Junco
- Edwin B Campbell Jr.
- Janae Elise Campbell
- Larry James Cann
- Ahitza Carrazana Estrada
- Heriberto Casanova Jr.
- Betsabee A Castillo Guerrero
- Luis Abel Cervera Gomez
All providers in Labelle, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. 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.