MEDICARE: MERCEDES BEATRIZ DIEGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	0-21-12634	FL
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst	1-25-78751	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427580497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCEDES BEATRIZ DIEGO

Provider Business Mailing Address
First Line	:	2000 NW 150TH AVE STE 2112
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-2870
Country	:	US
Telephone Number	:	754-264-8779
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 NW 150TH AVE STE 2112
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-2870
Country	:	US
Telephone Number	:	888-880-9270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2017
Last Update Date	:	01/15/2025

Similar Medicare Providers

1669143657 — MISS SAMINTHA CYNDY JEUDY
Practice Location Address:

2000 NW 150TH AVE STE 2112
PEMBROKE PINES, FL
33028-2870

Practice Phone: 754-264-8779
Practice Fax:

1699079996 — HEALTH CARE OF SOUTH FLORIDA CORP
Practice Location Address:

2000 NW 150TH AVE STE 2107
PEMBROKE PINES, FL
33028-2870

Practice Phone: 954-431-1534
Practice Fax: 954-431-1128

1053851246 — BEHAVIORAL INITIATIVES, LLC
Practice Location Address:

2000 NW 150TH AVE STE 2112
PEMBROKE PINES, FL
33028-2870

Practice Phone: 754-264-8779
Practice Fax: 754-264-8308

1689198665 — RONNIE HERNANDEZ
Practice Location Address:

2000 NW 150TH AVE STE 2112
PEMBROKE PINES, FL
33028-2870

Practice Phone: 754-264-8779
Practice Fax:

1124640453 — DAVID GALA IGLESIA LMHC
Practice Location Address:

2000 NW 150TH AVE STE 2110
PEMBROKE PINES, FL
33028-2870

Practice Phone: 786-440-2288
Practice Fax:

1417559816 — MR. DAVID KIM BCBA
Practice Location Address:

2000 NW 150TH AVE STE 2112
PEMBROKE PINES, FL
33028-2870

Practice Phone: 754-264-8693
Practice Fax:

Directions to “ MERCEDES BEATRIZ DIEGO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.