Individual
MRS. DIANA ROSA LARA NEBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1901 SW 127TH CT, MIAMI, FL 33175-1351
(786) 608-0470
Mailing address
1901 SW 127TH CT, MIAMI, FL 33175-1351
(786) 608-0470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-94643
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
05/03/2021
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