Individual
DIANELYS VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15230 SW 58TH ST, MIAMI, FL 33193-2522
(786) 973-2329
Mailing address
15230 SW 58TH ST, MIAMI, FL 33193-2522
(786) 973-2329
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12689051
FL
103K00000X
Behavior Analyst
Primary
RBT-20-120912
FL
106E00000X
Assistant Behavior Analyst
Primary
02415260
FL
Other
Enumeration date
09/16/2020
Last updated
04/08/2026
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