Individual
DIAMOND MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 COX RD STE 201, GASTONIA, NC 28054-3496
(704) 780-4271
(772) 675-9100
Mailing address
16255 VENTURA BLVD STE 830, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
03/15/2019
Last updated
05/09/2024
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