Individual
ANA LOURDES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10250 SW 56TH ST STE A202, MIAMI, FL 33165-7095
(888) 527-8037
Mailing address
10250 SW 56TH ST STE A202, MIAMI, FL 33165-7095
(888) 527-8037
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154558
FL
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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