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Individual

DEYSI DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
202 E 17TH ST, HIALEAH, FL 33010-3138
(786) 362-0104
Mailing address
202 E 17TH ST, HIALEAH, FL 33010-3138

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0104346
FL

Other

Enumeration date
02/24/2017
Last updated
05/30/2023
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