Individual
DIANA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
195 LENOX ST, NEW HAVEN, CT 06513-4057
(475) 731-5441
Mailing address
195 LENOX ST, NEW HAVEN, CT 06513-4057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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