Individual
OMAR DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7120 HAYVENHURST AVE STE 322, VAN NUYS, CA 91406-3813
(714) 867-3813
(855) 568-2494
Mailing address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(909) 304-1039
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
03/07/2023
Last updated
10/11/2024
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