Active NPI
Diane Marie Brahim
- Behavior Technician
- Fort Lauderdale, FL
National Provider Identifier
1982129086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3891 Stirling Rd
Fort Lauderdale, FL 33312-6216 - Phone
- (954) 416-2444
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3891 Stirling Rd
Fort Lauderdale, FL 33312-6216
Mailing address
16400 NW 13TH St
Pembroke Pines, FL 33028-1308
Phone (954) 829-2281
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1982129086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16400 NW 13TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281308",
"telephone_number": "954-829-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3891 STIRLING RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126216",
"telephone_number": "954-416-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAHIM",
"first_name": "DIANE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.