Individual
MANUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-9969
Mailing address
1801 W OLYMPIC BLVD, PASADENA, CA 91199-0001
(702) 777-9969
(702) 777-4818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-291499
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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