Individual
CARLOS RAFAEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 SW 63RD AVE, WEST MIAMI, FL 33144-5638
(786) 942-9403
Mailing address
1450 SW 63RD AVE, WEST MIAMI, FL 33144-5638
(786) 942-9403
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-14-6271
FL
Other
Enumeration date
05/01/2009
Last updated
03/27/2024
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