Individual
DIANA TABARES AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 LAKESIDE CT STE 101, RENO, NV 89509-4862
(775) 786-6880
Mailing address
3500 LAKESIDE CT STE 101, RENO, NV 89509-4862
(775) 786-6880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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