Individual
ABDIEL DAVID DIAZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8120 SW 153RD PL, MIAMI, FL 33193-1304
(786) 635-4608
Mailing address
8120 SW 153RD PL, MIAMI, FL 33193-1304
(786) 635-4608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-305813
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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