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Individual

GLENNYS DIAZ RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
120 SARATOGA BLVD W, ROYAL PALM BEACH, FL 33411-8263
(561) 317-0692
Mailing address
2936 SUMMIT BLVD, WEST PALM BEACH, FL 33406-4250

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16375
FL
106S00000X
Behavior Technician

Other

Enumeration date
08/28/2020
Last updated
08/27/2025
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