Individual
KEISY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5483 CACTUS THORN AVE APT D, LAS VEGAS, NV 89118-6017
(347) 549-7780
Mailing address
5483 CACTUS THORN AVE APT D, LAS VEGAS, NV 89118-6017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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