Individual
GRACE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
5761 SW 25TH ST, MIAMI, FL 33155-3114
(305) 924-7299
Mailing address
5761 SW 25TH ST, MIAMI, FL 33155-3114
(305) 924-7299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/14/2012
Last updated
02/25/2025
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