Individual
DIEDRA DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12740 BANDERA RD STE 200, HELOTES, TX 78023-4328
(210) 321-9275
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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