Individual
DELIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RBT, CBT
Contact information
Practice address
27023 164TH AVE SE STE 109, COVINGTON, WA 98042-8241
(253) 639-7146
Mailing address
27023 164TH AVE SE STE 109, COVINGTON, WA 98042-8241
(253) 639-7146
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
11/12/2018
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