Individual
EDWARD DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 W 181ST ST APT D, BRONX, NY 10453-3137
(917) 600-9420
Mailing address
27 W 181ST ST APT D, BRONX, NY 10453-3137
(917) 600-9420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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