Healthcare Provider Details

I. General information

NPI: 1447172796
Provider Name (Legal Business Name): YAIMEE DIAZ RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 NW 199TH ST LOT 208
MIAMI GARDENS FL
33055-1783
US

IV. Provider business mailing address

4955 NW 199TH ST LOT 208
MIAMI GARDENS FL
33055-1783
US

V. Phone/Fax

Practice location:
  • Phone: 305-331-3041
  • Fax: --
Mailing address:
  • Phone: 305-331-3041
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-527250
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: