Individual provider Active NPI

Beatriz Caridad Diaz Gonzalez, RBT

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1992343040
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6625 Miami Lakes Dr
Miami Lakes, FL 33014-2708
Phone
(786) 445-1335
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 19-90166
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

6625 Miami Lakes Dr
Miami Lakes, FL 33014-2708

Mailing address

5213 SW 139TH CT Ste 378
Miami, FL 33175-5152
Phone (786) 659-4909

Other practice location 1

2828 Coral Way Ste 560
Coral Gables, FL 33145-3214
Phone (786) 238-7298

Other practice location 2

9867 SW 184th St
Palmetto Bay, FL 33157-6934
Phone (786) 732-2287

Other identifiers 1

IdentifierTypeStateIssuer
103339200MedicaidFL

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
Nova Community Services Corp Current Accepting new patients
Nova Community Services Corp Behavior Analyst Current Accepting new patients
Hernandez Mental Health, Inc Behavior Analyst PastSince Dec 1, 2024 Accepting new patients

Locations

9867 SW 184th St
Palmetto Bay, FL 33157
Phone (786) 732-2287

Organizations & group practices 3

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1992343040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 SW 139TH CT STE 378",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755152",
            "telephone_number": "786-659-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142708",
            "telephone_number": "786-445-1335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Coral Way Ste 560",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331453214",
            "country_code": "US",
            "telephone_number": "786-238-7298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9867 SW 184th St",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331576934",
            "country_code": "US",
            "telephone_number": "786-732-2287",
            "fax_number": "786-732-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ GONZALEZ",
        "first_name": "BEATRIZ",
        "middle_name": "CARIDAD",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "19-90166",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103339200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.