Individual
ANDREA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5307
(850) 391-6060
Mailing address
1303 OCALA RD APT 177, TALLAHASSEE, FL 32304-1512
(850) 559-0369
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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