Individual
BRENDA MARIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 E 224TH ST APT 4K, BRONX, NY 10466-4057
(917) 280-1036
Mailing address
666 E 224TH ST APT 4K, BRONX, NY 10466-4057
(917) 280-1036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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