Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1134666894 |
---|---|
Provider Name | Maria Jose Diaz Colina |
First Address | Miami, FL 33196-3545 |
Second Address | Miami, FL 33196-3545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2017 |
Last Update Date | 02/11/2021 |