Individual
CHRISTINA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15641 78TH ST APT 3, HOWARD BEACH, NY 11414-2515
(347) 517-9917
Mailing address
2763 W 16TH ST, BROOKLYN, NY 11224-2707
(347) 517-9917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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