Individual
ADILEY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7990 W 29TH WAY APT 101, HIALEAH, FL 33018-7268
(786) 716-8595
Mailing address
7990 W 29TH WAY APT 101, HIALEAH, FL 33018-7268
(786) 716-8595
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-134605
FL
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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