Individual
ADISLEYVI TORRES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 SW DEL RIO BLVD, PORT ST LUCIE, FL 34953
(786) 491-2942
Mailing address
1480 SW DEL RIO BLVD, PORT ST LUCIE, FL 34953
(786) 491-2942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT23-278956
FL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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