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Individual

MS. JAMIE BRIANNE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3341 S OATES ST, DOTHAN, AL 36301-5889
(334) 200-8400
Mailing address
614 PRESTWICK DR, DOTHAN, AL 36305-1194
(334) 655-7263

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-414831
AL

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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