Individual
ALEXIS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4221 BENNER, KYLE, TX 78640-2220
(855) 782-7822
Mailing address
1800 POST RD APT 731, SAN MARCOS, TX 78666-3840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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