MEDICARE: DIANA B SUAREZ CARDET RBT

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	106S00000X	Behavior Technician	439492	FL

General Provider Information

NPI Number	:	1740073964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA B SUAREZ CARDET RBT

Provider Business Mailing Address
First Line	:	1696 S MILITARY TRL STE C
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5625
Country	:	US
Telephone Number	:	561-350-7230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 MAYPOP RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5540
Country	:	US
Telephone Number	:	561-350-7230
Fax Number	:

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

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	03/23/2026

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