MEDICARE: LISA DIAZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1851862981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA DIAZ

Provider Business Mailing Address
First Line	:	4238 SW 164TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5289
Country	:	US
Telephone Number	:	305-310-7455
Fax Number	:

Provider Business Practice Location Address
First Line	:	4238 SW 164TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5289
Country	:	US
Telephone Number	:	305-310-7455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

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Directions to “ LISA DIAZ ” Practice Location

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