Individual
FANY ROOSMERY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3496 SCELZI CT, TRIANGLE, VA 22172-2125
(540) 422-3240
Mailing address
8700 CENTREVILLE RD STE 8696, MANASSAS, VA 20110-8430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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