Provider Demographics
NPI:1497501001
Name:DIAZ DE VILLEGAS SANCHEZ, JAVIER
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:
Last Name:DIAZ DE VILLEGAS SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11478 SW 237TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7132
Mailing Address - Country:US
Mailing Address - Phone:551-323-8077
Mailing Address - Fax:
Practice Address - Street 1:11478 SW 237TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7132
Practice Address - Country:US
Practice Address - Phone:551-323-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician