Individual
DIANA XIMENA DARVALICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
9230 OLD LORRAINE RD STE A, GULFPORT, MS 39503-6059
(228) 731-3500
Mailing address
722 AKIKAI DR, DIAMONDHEAD, MS 39525-3968
(757) 818-3384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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