Individual
DIAMOND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
10150 W DESERT RIVER BLVD STE 160, GLENDALE, AZ 85307-3010
(623) 693-2954
Mailing address
10150 W DESERT RIVER BLVD, GLENDALE, AZ 85307-3008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000991
AZ
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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