Individual
DIANELYS BRITO VILLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1665 W 68TH ST STE 201, HIALEAH, FL 33014-4400
(786) 773-3393
(786) 773-3394
Mailing address
8400 SW 133RD AVENUE RD APT 206, MIAMI, FL 33183-4542
(786) 339-5081
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
04/28/2021
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