Provider / Organization | NPI | Date Certified |
---|---|---|
MILAIDYS DIAZ | 1356085609 | 2022-05-15 |
Milaidys Diaz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356085609. Registration indicates Milaidys Diaz is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Milaidys Diaz RBT |
Practice Office Address | 8730 NW 10TH ST PEMBROKE PINES, FL US |
Practice Office Telephone | 9546393325 |
Mailing Address | 8730 NW 10TH ST PEMBROKE PINES, FL 330244701 US |
Business Telephone | 9546393325 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-22-211869
FL |
D200-540-72-504 | MEDICAID | FL |