Individual
ADIALYS COLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4050 NW 135TH ST APT 1-5, OPA LOCKA, FL 33054-4630
(954) 397-0973
Mailing address
4050 NW 135TH ST APT 1-5, OPA LOCKA, FL 33054-4630
(954) 397-0973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB593402
FL
106S00000X
Behavior Technician
Primary
RBT-20-125986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111226400
—
FL
Enumeration date
09/28/2021
Last updated
03/25/2026
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