Individual
AILEN DIAZ CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12710 SW 264TH ST, HOMESTEAD, FL 33032-7894
(786) 325-8423
Mailing address
12710 SW 264TH ST, HOMESTEAD, FL 33032-7894
(786) 325-8423
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-452850
FL
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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