Vega Diaz, Maria Teresa

Vega Diaz, Maria Teresa is an sole proprietor health care provider with primary practice located at 1505 N Federal Hwy , Lake Worth FL 33460-1964. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Vega Diaz, Maria Teresa can be contacted via phone (561) 909-8980.

Contact Information

Primary practice address
1505 N Federal Hwy Lake Worth FL 33460-1964
Phone: (561) 909-8980
Fax: (561) 429-6889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-46268 Florida

Profile Details

NPI number 1457861163
LBN Legal business name Vega Diaz, Maria Teresa
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2017
Last updated Aug 21st, 2023 - about last year

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 1457861163 NPPES
Florida MEDICAID 022696000

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