Most Relevant Information
Provider Data
| NPI Number: | 1003452715 |
| Provider Name: | STEPHANIE DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-95880 |
Most Important Dates
| Enumeration Date: | 11/18/2019 |
| Last Updated: | 11/18/2019 |
Provider Practice Location
25270 SW 124TH PL
HOMESTEAD
FL
330325826
Practice Location Phone/Fax
| Phone: | 3052832757 |
| Fax: |
Provider Mailing Location
25270 SW 124TH PL
HOMESTEAD
FL
330325826
Provider Mailing Phone/Fax
| Phone: | 3052832757 |
| Fax: |