NPI | 1538605282 |
---|---|
Professional Name | MAYKEL DIAZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 9999999) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2022-01-08 |