Diaz-Balseca, Jessica

Diaz-Balseca, Jessica is an sole proprietor health care provider with primary practice located at 14211 Sw 83Rd St , Miami FL 33183-3930. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Diaz-Balseca, Jessica can be contacted via phone (786) 493-9587.

Contact Information

Primary practice address
14211 Sw 83Rd St Miami FL 33183-3930
Phone: (786) 493-9587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1952883613
LBN Legal business name Diaz-Balseca, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2018
Last updated Oct 28th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952883613 NPPES
Florida MEDICAID 103404200

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