Individual
ALBA LUISA GODOY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1224 US 1 STE H, NORTH PALM BEACH, FL 33408-3539
(561) 203-8181
Mailing address
101 PINTAIL CT, ROYAL PALM BEACH, FL 33411-2912
(786) 486-3236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-80986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103949200
—
FL
Enumeration date
07/23/2019
Last updated
05/08/2022
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