Diane Mazcareno
Behavior Analyst in Ontario, CA. Individual provider (NPI-1).
NPI number1154012425
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1154012425
- Entity type
- Individual (NPI-1)
- Name
- Diane Mazcareno
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2023
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone 909-476-5747
Mailing address
2620 E Dunes StOntario, CA 91761-7332
Phone 909-214-8321
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