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Individual

MARLEN GAMEZ DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8608 HURON CT UNIT 60, TAMPA, FL 33614-2059
(786) 557-2858
Mailing address
8608 HURON CT UNIT 60, TAMPA, FL 33614-2059
(786) 557-2858

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
02113074
CO
106S00000X
Behavior Technician
FL

Other

Enumeration date
10/09/2017
Last updated
11/08/2021
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