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Individual
ODELAISYS ALVAREZ DIAZ
Active
Individual
ODELAISYS ALVAREZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-56926
BACB
FL
Enumeration date
01/21/2022
Last updated
01/21/2022
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