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Individual

ROSA V DIAZ GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(516) 590-7575
Mailing address
778 E 178TH ST # 1, BRONX, NY 10460-1202

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103K00000X
A & J BEHAVIORAL HEALTH
Enumeration date
01/30/2018
Last updated
01/30/2018
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