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Dianelys Moreno, RBT

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

NPI number1982204665
StatusActive
Last updated in NPPESOct 30, 2020

Details

NPI
1982204665
Entity type
Individual (NPI-1)
Name
Dianelys Moreno
Credential
RBT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 30, 2020
Certification date
Oct 30, 2020
Last updated
Oct 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20-140682FLYes

Practice location

2811 W 76th St Apt 202
Hialeah, FL 33018-5369

Phone 786-525-3209

Mailing address

2811 W 76th St Apt 202
Hialeah, FL 33018-5369

Phone 786-525-3209

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