Individual
AMY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 NW 32ND CT, MIAMI, FL 33125-4118
(305) 764-4479
Mailing address
511 NW 32ND CT, MIAMI, FL 33125-4118
(305) 764-4479
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-290063
FL
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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