Individual
NELVI DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
280 MERRIMACK ST FL 3, LAWRENCE, MA 01843-1779
(707) 706-3584
Mailing address
280 MERRIMACK ST FL 3, LAWRENCE, MA 01843-1779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39409
MA
Other
Enumeration date
08/09/2018
Last updated
02/24/2020
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