Healthcare Provider Details

I. General information

NPI: 1619884202
Provider Name (Legal Business Name): DARLEN GARCIA DIAZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7925 NW 12TH ST STE 315
DORAL FL
33126-1846
US

IV. Provider business mailing address

4174 NW 79TH AVE APT 2C
DORAL FL
33166-6553
US

V. Phone/Fax

Practice location:
  • Phone: 305-965-1525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2844637
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: