Individual
CARLOS A DIAZ ESTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3080 NW 186TH TER, MIAMI GARDENS, FL 33056-3013
(786) 715-2766
Mailing address
3080 NW 186TH TER, MIAMI GARDENS, FL 33056-3013
(786) 715-2766
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10689
FL
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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