Individual
GRACIELA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-6200
Mailing address
6701 KOLL CENTER PKWY STE 250, PLEASANTON, CA 94566-8062
(925) 215-8589
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
235Z00000X
Speech-Language Pathologist
Primary
39896
CA
Other
Enumeration date
07/15/2019
Last updated
03/10/2026
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