Individual
ALICIA VEGA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13595 SW 38TH LN, MIAMI, FL 33175-3215
(786) 817-0690
Mailing address
13595 SW 38TH LN, MIAMI, FL 33175-3215
(786) 817-0690
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-290170
FL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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