Individual
ANTHONY DANIEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13224 SE 202ND RD, TALIHINA, OK 74571-5866
(918) 567-2389
Mailing address
13224 SE 202ND RD, TALIHINA, OK 74571-5866
(918) 567-2389
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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