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Individual

ADIANES DIAZ LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
502 NW 3RD TER, CAPE CORAL, FL 33993-2395
(239) 328-7517
Mailing address
502 NW 3RD TER, CAPE CORAL, FL 33993-2395
(239) 328-7517

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-482148
FL

Other

Enumeration date
10/25/2025
Last updated
10/25/2025
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