Individual provider Active NPI

Emmanuel Debs Diaz

  • Behavior Technician
  • Greenacres, FL
National Provider Identifier
1972484590
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-470578 Issued in FL
Practice address
6383 10TH Ave N Ste E
Greenacres, FL 33463-1689
Phone
(561) 429-5794
Fax
(561) 349-6813
NPI assigned
Sep 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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-25-470578 FL Primary

Addresses

Primary practice location

6383 10TH Ave N Ste E
Greenacres, FL 33463-1689

Mailing address

11194 67TH PL N
West Palm Beach, FL 33412-1807
Phone (561) 502-3791

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-25-470578FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1972484590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11194 67TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121807",
            "telephone_number": "561-502-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6383 10TH AVE N STE E",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334631689",
            "telephone_number": "561-429-5794",
            "fax_number": "561-349-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBS DIAZ",
        "first_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-470578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

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