Individual
MRS. FIORELLA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 RICHMOND AVE STE 2, STATEN ISLAND, NY 10314-5857
(718) 761-9800
Mailing address
374 ROLLING HILL GRN, STATEN ISLAND, NY 10312-1806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
095443-1
NY
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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