Individual
DIANA SAMI BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(520) 331-5287
Mailing address
17777 N SCOTTSDALE RD APT 4021, SCOTTSDALE, AZ 85255-6585
(313) 652-5313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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