Individual
DIANA MARIATERESA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W VINE ST, MURRAY, UT 84107
(888) 517-8377
Mailing address
6956 SHOUP AVE, WEST HILLS, CA 91307-2652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-464254
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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