Individual
DIANA BELTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 RUCKER BLVD, ENTERPRISE, AL 36330-8736
(334) 464-0063
Mailing address
200 PLAZA DR APT 5, ENTERPRISE, AL 36330-3366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
03/31/2023
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