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Individual
DIANDRA MICHELLE MALDONADO
Active
Individual
DIANDRA MICHELLE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA, LBA-TX
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5377
TX
106S00000X
Behavior Technician
RBT-21-160909
TX
2355S0801X
Speech-Language Assistant
39629
TX
Other
Enumeration date
07/31/2018
Last updated
10/13/2022
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