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Individual

AMY DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13901 AMARGOSA RD STE 2, VICTORVILLE, CA 92392-2409
(626) 945-1305
Mailing address
22000 HURONS AVE, APPLE VALLEY, CA 92307-4225

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/09/2019
Last updated
10/09/2019
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