Jessica Diaz
Individual provider Active NPI Behavior Technician · Debary, FL
NPI 1982595039 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1982595039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 454 Fort Florida Rd
Debary, FL 32713-9714 - Phone
- (386) 562-0170
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Independence | Behavior Technician | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
454 Fort Florida Rd
Debary, FL 32713-9714
Mailing address
2412 Greenwood St
Deltona, FL 32738-2980
Phone (386) 507-3473
Other providers in Debary, FL
- Nayadit Del Toro Benitez
- Delta Health Group Inc
- Deltona Counseling Associates, P.a.
- Krista Denoff
- Diabetic Shoe Source Inc.
- Joanne Elizabeth Dickerson
- Eileen Marie Dobrinski
- Donna Stapleton
- Richard Allan Dowling
- Deandrea Yvonne Duffus
All providers in Debary, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.