Individual
AMANDA DIAZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 E 38TH ST, HIALEAH, FL 33013-2658
(786) 992-6474
Mailing address
131 E 38TH ST, HIALEAH, FL 33013-2658
(786) 992-6474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-321050
FL
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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