MEDICARE: DIANELYS CARIDAD CORRALES LEON

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	C642-163-63-702-0	FL

General Provider Information

NPI Number	:	1215733290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANELYS CARIDAD CORRALES LEON

Provider Business Mailing Address
First Line	:	152 LONGFELLOW DR
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2034
Country	:	US
Telephone Number	:	786-768-4012
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 LONGFELLOW DR
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2034
Country	:	US
Telephone Number	:	786-768-4012
Fax Number	:

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

Provider Enumeration Date	:	02/20/2025
Last Update Date	:	02/20/2025

Similar Medicare Providers

1154024123 — ALAIN HERNANDEZ CORRALES
Practice Location Address:

152 LONGFELLOW DR
PALM SPRINGS, FL
33461-2034

Practice Phone: 561-412-9833
Practice Fax:

1235194804 — DR. JERROLD SHARKEY MD
Practice Location Address:

3100 MEADOW VIEW LN
PALM HARBOR, FL
34683-2034

Practice Phone: 727-786-4531
Practice Fax: 206-338-3541

1003395955 — DR. FIDELIS IFEANYI EZEWIKE JR.
Practice Location Address:

2034 PALM PLACE DR NE
PALM BAY, FL
32905-3960

Practice Phone: 954-224-8205
Practice Fax:

1770148868 — ANTHOULA VANDOROS
Practice Location Address:

2661 E LAKE RD
PALM HARBOR, FL
34685-2034

Practice Phone: 727-216-6775
Practice Fax:

1922872688 — B4 TRANSPORTATION LLC
Practice Location Address:

8520 FAIRLANE DR
DENHAM SPRINGS, LA
70726-2034

Practice Phone: 225-650-9886
Practice Fax:

1700839131 — MEDI TECH, INC.
Practice Location Address:

1031 HWY 25B NORTH
HEBER SPRINGS, AR
72543-2034

Practice Phone: 501-250-0300
Practice Fax: 501-250-0309

Directions to “ DIANELYS CARIDAD CORRALES LEON ” 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.