Diaz, Rebekah

Diaz, Rebekah is an sole proprietor health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Diaz, Rebekah can be contacted via phone (305) 972-4876.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (305) 972-4876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X RBT-15-02173 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW16764 Florida

Profile Details

NPI number 1447603881
LBN Legal business name Diaz, Rebekah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2016
Last updated Aug 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447603881 NPPES
Florida MEDICAID 00000000

Popular Providers