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Individual

MARK A DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3606 N RANCHO DR STE 142, LAS VEGAS, NV 89130-3130
(702) 778-5300
(702) 778-5301
Mailing address
8113 HIDDEN QUAIL AVE, LAS VEGAS, NV 89131-4648
(702) 860-9974

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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