Individual
DAIANA ISMAGILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 NW 118TH ST STE 100, CLIVE, IA 50325-8278
(515) 402-4130
Mailing address
1860 NW 118TH ST STE 100, CLIVE, IA 50325-8278
(515) 402-4130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1335504
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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