Individual
ALEJANDRO SANTIAGO DIAZ MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7355 COLDSTREAM DR, HIALEAH, FL 33015-2203
(786) 239-9044
Mailing address
7355 COLDSTREAM DR, HIALEAH, FL 33015-2203
(786) 239-9044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-286958
FL
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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