Provider Demographics
NPI:1831955905
Name:ALBELO, DIANIBEL
Entity type:Individual
Prefix:
First Name:DIANIBEL
Middle Name:
Last Name:ALBELO
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 1:7319 NW 174TH TER # K101
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-1122
Mailing Address - Country:US
Mailing Address - Phone:786-300-5060
Mailing Address - Fax:
Practice Address - Street 1:7319 NW 174TH TER # K101
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-1122
Practice Address - Country:US
Practice Address - Phone:786-300-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-325177106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty