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General NPI Number Information
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NPI Number | 1124828892
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Entity Type | Individual
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Provider Name | YARITZA CASTRO DIAZ RBT-25-419153
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 18646 NW 53RD AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-5307
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Country | US
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Telephone | 786-458-0031
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Fax | 786-301-7170
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Provider Business Mailing Address
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Address Line | 1714 VESTAL DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5860
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Country | US
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Telephone | 786-458-0031
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Fax | 786-301-7170
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-419153
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License Number State | FL
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