Individual
EMILEIGH DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 ACADEMY PL, COLORADO SPRINGS, CO 80909-1696
(719) 597-0822
Mailing address
2233 ACADEMY PL, COLORADO SPRINGS, CO 80909-1696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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