Provider Demographics
NPI:1851965537
Name:DIAZ BATISTA, BEATRIZ (RBT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:DIAZ BATISTA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 W 77TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4126
Mailing Address - Country:US
Mailing Address - Phone:786-970-7568
Mailing Address - Fax:
Practice Address - Street 1:770 W 77TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-4126
Practice Address - Country:US
Practice Address - Phone:786-970-7568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107305600Medicaid