Individual
YADIGNA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 CHESTNUT ST, RANDOLPH, MA 02368-2459
(857) 615-7348
Mailing address
69 CHESTNUT ST, RANDOLPH, MA 02368-2459
(857) 615-7348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84958
FL
Other
Enumeration date
05/15/2023
Last updated
01/15/2026
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