Individual
ASHLEY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 28TH CT NE, LACEY, WA 98516-7162
(360) 915-6868
Mailing address
8752 ADONIS AVE NE, LACEY, WA 98516-4501
(973) 220-1497
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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