Ilianni Diaz Pena

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

18025 NW 17TH Ave
Miami Gardens, FL 33056-3803

Phone

(786) 656-2965

NPI assigned

Nov 21, 2022

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

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1659080489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 NW 17TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563803",
            "telephone_number": "786-656-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18025 NW 17TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563803",
            "telephone_number": "786-656-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PENA",
        "first_name": "ILIANNI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilibet Diaz Mejias
• Glenda Diaz Mora, PMHNP
• Miriam Diaz Ortega
• Alejandra Diaz Osorio
• Lorena D Diaz Pedroso
• Yuriko Diaz Santana
• Yuletsy Diaz Valdes
• Antonio Fausto Diaz, ARNP
• Carolina Diaz
• Chrisopher Gonzalez Diaz, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.