Samantha Diaz

NPI #1700562055 in Valrico, Florida

Provider Information

NPI Number: 1700562055
Entity Type: Individual
Name: Samantha Diaz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 22, 2023
Last Updated: Jun 22, 2023

Practice Location

Address: 339 SUMMER SAILS DR
City: Valrico
State: Florida
ZIP Code: 33594-8011
Phone: (813) 464-0983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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