Provider Demographics
NPI:1003468091
Name:CHAPLE DIAZ, ZULEYDI
Entity Type:Individual
Prefix:
First Name:ZULEYDI
Middle Name:
Last Name:CHAPLE DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3218
Mailing Address - Country:US
Mailing Address - Phone:786-473-7254
Mailing Address - Fax:
Practice Address - Street 1:502 E 14TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3218
Practice Address - Country:US
Practice Address - Phone:786-473-7254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst