Individual
ANGELA ROSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 E NEWPORT CENTER DR STE 101, DEERFIELD BEACH, FL 33442-7711
(516) 457-5609
Mailing address
1239 E NEWPORT CENTER DR STE 101, DEERFIELD BEACH, FL 33442-7711
(516) 457-5609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992153217
PRIVATE INSURANCE
FL
Enumeration date
03/03/2016
Last updated
05/02/2024
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