Individual
DIANA LEE NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 EKHART ST NE, GRAND RAPIDS, MI 49503-1380
(616) 965-3492
Mailing address
1260 EKHART ST NE, GRAND RAPIDS, MI 49503-1380
(616) 965-3492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68393
MI
106E00000X
Assistant Behavior Analyst
0-21-11980
MI
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
MI
Other
Enumeration date
12/02/2020
Last updated
10/14/2023
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