Individual
MICHELLE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
109 OAK ST, NEWTON, MA 02464-1492
(786) 768-0882
Mailing address
109 OAK ST, NEWTON, MA 02464-1492
(786) 768-0882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47252
MA
Other
Enumeration date
09/30/2015
Last updated
12/02/2021
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