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Individual
REBEKAH DIAZ
Active
Individual
REBEKAH DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-15-02173
FL
1041C0700X
Clinical Social Worker
Primary
SW16764
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
FL
Enumeration date
07/21/2016
Last updated
08/08/2022
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