Anthony Diaz Fuentes
Behavior Technician
8925 Nw 117th St
Hialeah Gardens
, Florida 33018-4139
Anthony Diaz Fuentes
Behavior Technician
8925 Nw 117th St
Hialeah Gardens
, Florida 33018-4139
(786) 620-4600
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Anthony Diaz Fuentes
- 8925 Nw 117th St
- Hialeah Gardens, FL
- Zip : 33018-4139
- Phone : (786) 620-4600
Second Address
- Anthony Diaz Fuentes
- 8925 Nw 117th St
- Hialeah Gardens, FL
- Zip : 33018-4139
- Phone : (786) 620-4600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-117960 | FL |
National Provider Identifier
| NPI | 1003402835 |
|---|---|
| Provider Name | Anthony Diaz Fuentes |
| First Address | Hialeah Gardens, FL 33018-4139 |
| Second Address | Hialeah Gardens, FL 33018-4139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2020 |
| Last Update Date | 16/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 106440300 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.