Individual
DIANA LYNN MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3260 HAZEL ST, POLLOCK PINES, CA 95726-9244
(760) 912-7606
Mailing address
3260 HAZEL ST, POLLOCK PINES, CA 95726-9244
(760) 912-7606
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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