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Individual

DIANE DIAZ CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
Mailing address
333 W BROADWAY UNIT 862, ANAHEIM, CA 92815-2040

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
05/14/2019
Last updated
08/05/2026
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