Individual
JASON DIMINICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
82 W GILBERT ROAD, GILBERT, AZ 85233
(602) 502-3813
Mailing address
82 W RAY RD, GILBERT, AZ 85233-8537
(602) 502-3813
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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