Individual
DIANA SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 W 17TH ST, SANTA ANA, CA 92706-3506
(818) 217-9915
Mailing address
4695 N BELLFLOWER BLVD APT 5, LONG BEACH, CA 90808-1225
(818) 217-9915
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/10/2019
Last updated
10/04/2024
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