Alyssa Nicole Diaz

NPI #1104512250 in Goulds, Florida

Provider Information

NPI Number: 1104512250
Entity Type: Individual
Name: Alyssa Nicole Diaz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 12, 2023
Last Updated: Apr 12, 2023

Practice Location

Address: 11276 SW 232ND ST
City: Goulds
State: Florida
ZIP Code: 33170-7505
Phone: (305) 912-8399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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