Individual
HAYLIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N MARILYN AVE, NORTHLAKE, IL 60164-2236
(773) 949-0618
Mailing address
121 N MARILYN AVE, NORTHLAKE, IL 60164-2236
(773) 949-0618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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