Individual
ABRAHAM DIAZ VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-2809
Mailing address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-2809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-532370
FL
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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