Individual
DIANA LISET TEJEDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
648 INDEPENDENCE PKWY STE 300, CHESAPEAKE, VA 23320-5208
(718) 215-5311
(718) 865-5165
Mailing address
PO BOX 360595, PITTSBURGH, PA 15251-6595
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-449899
VA
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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