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1922609601
IVELIS DIAZ
PEMBROKE PINES, FL
NPI
1922609601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT20119913)
Enumeration Date
2020-11-08
Last Update Date
2020-11-08
Business Address
Mrs. IVELIS DIAZ RBT
1800 N DOUGLAS RD
PEMBROKE PINES, FL 33024-3200
Phone number: 954-526-1592
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Mailing Address
Mrs. IVELIS DIAZ RBT
14359 MIRAMAR PKWY STE 504
MIRAMAR, FL 33027-4134
Phone number: 954-526-1592
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