IVIS LAZARA FUENTES DIAZ

MIAMI, FL
NPI1184315236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: FL  BCBA-1-25-86289)
Additional Taxonomies106S00000X Behavior Technician
(Licence: FL  F532-412-91-847-0)
Enumeration Date2023-05-18
Last Update Date2025-12-15
Business Address
IVIS LAZARA FUENTES DIAZ
11625 SW 168TH TER
MIAMI, FL 33157-3955
Phone number: 786-771-1206
Mailing Address
IVIS LAZARA FUENTES DIAZ
11625 SW 168TH TER
MIAMI, FL 33157-3955
Phone number: 786-771-1206