Gretel Diaz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30864 Issued in FL

Practice address

955 Caroline St Ste 206-1
Key West, FL 33040-6732

Phone

(786) 475-5732

Fax

(844) 455-3224

NPI assigned

Dec 21, 2012

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Behavioral Analysis

  • Behavior Analyst
  • Miami, FL
  • NPI 1093360398
  NPD

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1770829632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N GOLDENEYE LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351037",
            "telephone_number": "786-475-5732",
            "fax_number": "844-455-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CAROLINE ST STE 206-1",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406732",
            "telephone_number": "786-475-5732",
            "fax_number": "844-455-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 N Goldeneye Ln",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330351037",
            "country_code": "US",
            "telephone_number": "786-475-5732",
            "fax_number": "844-455-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GRETEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-18-30864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Group of Florida PA
• Michael Derouin, DPM,FACFAS
• Lori Lee Deutsch, RN
• Robert Rocco Devito Jr.
• Eduardo Diaz Jr.
• Florence E Diehl, RRT
• Dorothy Denise Doane, MSN, C-FNP
• Steven Spiers Dobbs, D.M.D.
• Doc to Your Door PA
• Carol Ann Dochow, M.A.

• Behavior Analyst in Key West, FL
• Providers in Key West, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.