Sandy Daniela Diaz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5932 Sandy Forks Rd Ste 101
Raleigh, NC 27609-3814

Phone

(984) 275-3054

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

No

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1700538691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "866-610-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 SANDY FORKS RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093814",
            "telephone_number": "984-275-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SANDY",
        "middle_name": "DANIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Diaz, PA-C, MHS
• Dyanna Diaz, PHARMD
• Emily Marie Diaz, LPC
• Geniel Alberto Diaz, APRN
• Jasmine Brianna Diaz, LCSW
• Jeanne S Dibbert, LCSW
• Danielle Dibble
• Christine Diblasi, D.D.S.
• Tanner Welby Dice, DMD
• Maggie Marie Dicesare, COTA/L

• All providers in Raleigh, NC
• Behavior Technician in North Carolina

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