Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Rose Wakefield

Individual provider Behavior Technician · NPI 1225541063

Diane Rose Wakefield is a Behavior Technician in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

6113 Pheasant Ridge Dr
Port Orange, FL 32128-6988
Phone: (386) 334-0183
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Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1225541063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2017
Last updated in NPPESJanuary 27, 2019
Mailing address6113 Pheasant Ridge Dr, Port Orange, FL 32128-6988

Other providers in Port Orange