Crystal Diaz
Behavior Technician in Metairie, LA. Individual provider (NPI-1).
NPI number1164030847
StatusActive
Last updated in NPPESJul 17, 2020
Details
- NPI
- 1164030847
- Entity type
- Individual (NPI-1)
- Name
- Crystal Diaz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2020
- Certification date
- Jul 17, 2020
- Last updated
- Jul 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4201 N I 10 Service Rd WMetairie, LA 70006-6713
Phone 877-418-2978 · Fax 866-500-2186
Mailing address
4201 N I 10 Service Rd WMetairie, LA 70006-6713
Phone 877-418-2978 · Fax 866-500-2186
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