Individual
ANGIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 S PIONEER WAY, LAS VEGAS, NV 89113-4675
(702) 782-2693
Mailing address
8350 S PIONEER WAY, LAS VEGAS, NV 89113-4675
(702) 782-2693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3104
NV
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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