Individual
TANYA L DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 NORTHCROSS CENTER CT, HUNTERSVILLE, NC 28078-7356
(704) 369-3291
Mailing address
9820 NORTHCROSS CENTER CT, HUNTERSVILLE, NC 28078-7356
(704) 369-3291
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NC
106S00000X
Behavior Technician
—
NC
171000000X
Military Health Care Provider
—
NC
171M00000X
Case Manager/Care Coordinator
—
NC
172V00000X
Community Health Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225200000X
Physical Therapy Assistant
—
—
225C00000X
Rehabilitation Counselor
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
34D2158374
NC
291U00000X
Clinical Medical Laboratory
34D2158374
NC
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00578554
—
NC
Enumeration date
09/05/2019
Last updated
09/09/2019
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