Individual
DIANELIS DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9631 SW 79 ST, MIAMI, FL 33173
(786) 624-7507
Mailing address
9631 SW 79 ST, MIAMI, FL 33173
(786) 624-7507
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA0188730
FL
Other
Enumeration date
12/30/2016
Last updated
08/08/2018
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