Diamond Child Behavioral Services, LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

DIAMOND CHILD BEHAVIORAL SERVICES, LLC

Practice address

220 Kettering CT
Longwood, FL 32779-4519

Phone

(407) 866-5152

Fax

(407) 866-5152

NPI assigned

Jul 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Andrea Bradley, RBTNPI 1194125948

Title

Owner

Phone

(407) 866-5152

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Bradley

  • Behavior Technician
  • Altamonte Springs, FL
  • NPI 1194125948
  NPD Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1669219374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 KETTERING CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794519",
            "telephone_number": "407-866-5152",
            "fax_number": "407-866-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KETTERING CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794519",
            "telephone_number": "407-866-5152",
            "fax_number": "407-866-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND CHILD BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-866-5152",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Charles Derrick, DDS
• Pratima Deshmukh, M.D.
• Ericka Devore, AU.D.
• Devyani Belsare MD LLC
• Fahim Dhalla
• Evelin Noemi Diaz-Ucles
• Alexis M Diaz
• Angela G Diaz, CRNA
• Marien G Diaz
• James Richard Dickens, PHARM.D. CGP

• Behavior Technician in Longwood, FL
• Providers in Longwood, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.