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Individual
YANELIS DIAZ RODRIGUEZ
Active
Individual
YANELIS DIAZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-09281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017853300
—
FL
Enumeration date
06/06/2016
Last updated
12/03/2018
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