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

Ivis Lazara Fuentes Diaz

Individual provider Behavior Technician · NPI 1184315236

Ivis Lazara Fuentes Diaz is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

11625 SW 168th Ter
Miami, FL 33157-3955
Phone: (786) 771-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BCBA-1-25-86289 (FL)
Behavior Technician Taxonomy 106S00000X · Licence F532-412-91-847-0 (FL)

Record details

NPI number1184315236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2023
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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