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NPI Code Detail

MEDICARE: LENAY DIAZ RBT

MEDICARE: LENAY DIAZ RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1982457826
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENAY DIAZ RBT
Provider Business Mailing Address
First Line : 733 STAR MAGNOLIA DR
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-4802
Country : US
Telephone Number : 407-285-0743
Fax Number :
Provider Business Practice Location Address
First Line : 1939 MAGUIRE RD STE 107-108
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-7942
Country : US
Telephone Number : 407-619-8156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 04/10/2024

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Directions to “ LENAY DIAZ RBT” Practice Location

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