Individual
DIAMOND W KOLEAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
665 N GILBERT RD STE 152, GILBERT, AZ 85234-3395
(480) 231-6711
Mailing address
773 E LARK ST UNIT 201, GILBERT, AZ 85297-1221
(480) 667-0304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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