Individual
CORRINA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
9166 ANAHEIM PL, 200, RANCHO CUCAMONGA, CA 91730-8541
(909) 483-2505
Mailing address
9166 ANAHEIM PL, 200, RANCHO CUCAMONGA, CA 91730-8541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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