Organization
DAMASA M DIAZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMASA M DIAZ (PROVIDER)
(786) 473-7751
Entity
Organization
Contact information
Practice address
2740 W 76TH ST APT 105, HIALEAH, FL 33016-5623
(786) 473-7751
Mailing address
2740 W 76TH ST APT 105, HIALEAH, FL 33016-5623
(786) 473-7751
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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