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NPI Code Detail

MEDICARE: KELLYNETH ALMAGUER DIAZ

MEDICARE: KELLYNETH ALMAGUER DIAZ
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
1106S00000XBehavior TechnicianRBT-23-284896FL
2106E00000XAssistant Behavior AnalystBCABA-0-26-17106FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396426755
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLYNETH ALMAGUER DIAZ
Provider Business Mailing Address
First Line : 529 N F ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-2948
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 529 N F ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-2948
Country : US
Telephone Number : 561-317-2438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2023
Last Update Date : 06/18/2026

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Directions to “ KELLYNETH ALMAGUER DIAZ ” Practice Location

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