Individual provider Active NPI

Syreeta Michelle Dietrich

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1790507044
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-104727 Issued in FL
Practice address
2520 Coral Way
Suite 2-19
Miami, FL 33145-3438
Phone
(888) 351-8026
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-104727 FL Primary

Addresses

Primary practice location

2520 Coral Way
Suite 2-19
Miami, FL 33145-3438

Mailing address

3101 NW 77TH St Apt 313
Miami, FL 33147-5409
Phone (305) 742-3268

Other practice location 1

3101 NW 77th St Apt 313
Miami, FL 33147-5409
Phone (305) 742-3268 ext. 00000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-104727FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1790507044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 NW 77TH ST APT 313",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331475409",
            "telephone_number": "305-742-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CORAL WAY",
            "address_2": "SUITE 2-19",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453438",
            "telephone_number": "888-351-8026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 NW 77th St Apt 313",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331475409",
            "country_code": "US",
            "telephone_number": "305-742-3268 x00000",
            "fax_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "SYREETA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-104727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.