Individual
DIANA DIDUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LPC-I
Contact information
Practice address
8100 LOMO ALTO DR, SUITE 100, DALLAS, TX 75225-6530
(214) 351-0053
Mailing address
4555 ELSBY AVE, DALLAS, TX 75209-3113
(214) 728-9485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
74979
TX
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
09/13/2016
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