Healthcare Provider Details

I. General information

NPI: 1326998287
Provider Name (Legal Business Name): DIANELA PEREZ RODRIGUEZ RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 SW 21ST AVE
MIAMI FL
33135-5022
US

IV. Provider business mailing address

1175 SW 21ST AVE
MIAMI FL
33135-5022
US

V. Phone/Fax

Practice location:
  • Phone: 305-510-8529
  • Fax:
Mailing address:
  • Phone: 305-510-8529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-506836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: