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Individual

JENNIFER DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
145 S FAIRFAX AVE, LOS ANGELES, CA 90036-2166
(855) 832-6727
Mailing address
539 CASTLEHILL DR, WALNUT, CA 91789-2624

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
08/23/2017
Last updated
08/25/2025
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