Individual
TATIANA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 KINGERY HWY STE 102, WILLOWBROOK, IL 60527-2250
(815) 469-1500
Mailing address
6300 KINGERY HWY STE 102, WILLOWBROOK, IL 60527-2250
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46201
—
Other
Enumeration date
06/20/2019
Last updated
11/20/2025
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