Michelle Alexandra Diaz
Behavior Technician in Davie, FL. Individual provider (NPI-1).
NPI number1063278331
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1063278331
- Entity type
- Individual (NPI-1)
- Name
- Michelle Alexandra Diaz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2024
- Certification date
- Feb 24, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8001 Sw 36th St Ste 9Davie, FL 33328-1915
Phone 954-577-7790 · Fax 954-577-7780
Mailing address
8001 Sw 36th St Ste 9Davie, FL 33328-1915
Phone 954-577-7790 · Fax 954-577-7780
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