Individual
MS. TONI ANNETTE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
296 FEDERAL ST, GREENFIELD, MA 01301-1932
(413) 774-5411
Mailing address
64 WALLINGFORD AVE, ATHOL, MA 01331-1507
(978) 490-4655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
09/01/2021
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