Individual
BERNICE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 NW 79TH AVE, SUITE 501, DORAL, FL 33166-6556
(305) 597-3861
(305) 597-3863
Mailing address
3900 NW 79TH AVE, SUITE 501, DORAL, FL 33166-6556
(305) 597-3861
(305) 597-3863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AZ
103K00000X
Behavior Analyst
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
12/14/2012
Last updated
12/01/2014
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