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Maria Fernanda Diaz Atencio

Behavior Technician in Davie, FL. Individual provider (NPI-1).

NPI number1124532387
StatusActive
Last updated in NPPESDec 6, 2017

Details

NPI
1124532387
Entity type
Individual (NPI-1)
Name
Maria Fernanda Diaz Atencio
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 27, 2017
Last updated
Dec 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
247200000X Technician, Other––

Practice location

3761 Sw 60th Ave Apt 2
Davie, FL 33314-2665

Phone 754-971-8471

Mailing address

3761 Sw 60th Ave Apt 2
Davie, FL 33314-2665

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