Individual
DIAMOND PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 CREWS ST, WINSTON SALEM, NC 27101-2010
(234) 425-4606
Mailing address
224 CREWS ST, WINSTON SALEM, NC 27101-2010
(234) 425-4606
(234) 425-4606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NC
106S00000X
Behavior Technician
—
NC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/27/2023
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