Individual
AMANDA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 NW 25TH ST STE 5C, DORAL, FL 33172-1416
(305) 522-9889
(786) 803-8273
Mailing address
9600 NW 25TH ST STE 5C, DORAL, FL 33172-1416
(305) 522-9889
(786) 803-8273
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-79749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-79749
BCBA
FL
Enumeration date
07/29/2019
Last updated
09/08/2025
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