Individual
ALIET DIAZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 W 25TH CT APT 8, HIALEAH, FL 33016-4447
(305) 926-4134
Mailing address
5850 W 25TH CT APT 8, HIALEAH, FL 33016-4447
(305) 926-4134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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