Individual
LAURA MARIA ROMAN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 N KROME AVE, HOMESTEAD, FL 33030-4413
(786) 349-4700
Mailing address
26230 SW 122 CT, MIAMI, FL 33032
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12749
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/23/2019
Last updated
02/07/2022
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