Individual provider Active NPI

Dianelys Nunez Fuentes

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1801420922
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-53786 Issued in FL
Practice address
2222 SW 137TH PL
Miami, FL 33175-6346
Phone
(786) 280-9118
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10647 FL
Behavior Analyst 103K00000X 1-21-53786 FL Primary

Addresses

Primary practice location

2222 SW 137TH PL
Miami, FL 33175-6346

Mailing address

10689 N Kendall Dr Ste 309
Miami, FL 33176-1525
Phone (786) 536-7470

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Behavioral Services LLC Behavior Analyst CurrentSince Oct 16, 2022 Accepting new patients
Dade Behavioral Services Inc Behavior Analyst PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1801420922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10689 N KENDALL DR STE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761525",
            "telephone_number": "786-536-7470",
            "fax_number": "786-536-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SW 137TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756346",
            "telephone_number": "786-280-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ FUENTES",
        "first_name": "DIANELYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10647",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53786",
            "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 Nov 29, 2021; 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.