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

Diego Samuel Fernandez Vasallo

Individual provider Behavior Technician · NPI 1346061819

Diego Samuel Fernandez Vasallo is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

9620 SW 142nd Ct
Miami, FL 33186-1178
Phone: (786) 817-3040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-380473 (FL)

Record details

NPI number1346061819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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