Provider Demographics
NPI:1386342186
Name:DIEGUEZ NUNEZ, DIANEL SR (RBT,ET)
Entity type:Individual
Prefix:MR
First Name:DIANEL
Middle Name:
Last Name:DIEGUEZ NUNEZ
Suffix:SR
Gender:M
Credentials:RBT,ET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 W 78TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-3350
Mailing Address - Country:US
Mailing Address - Phone:786-526-8839
Mailing Address - Fax:
Practice Address - Street 1:1570 W 78TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3350
Practice Address - Country:US
Practice Address - Phone:786-526-8839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-21
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171W00000X
FL22-242002106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171W00000XOther Service ProvidersContractor