Jessica G Diaz
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164048443
StatusActive
Last updated in NPPESFeb 20, 2025
Details
- NPI
- 1164048443
- Entity type
- Individual (NPI-1)
- Name
- Jessica G Diaz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2020
- Certification date
- Feb 20, 2025
- Last updated
- Feb 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-132154 | NV | Yes |
| 106S00000X | Behavior Technician | RBT1339 | NV |
Practice location
3515 W Charleston BlvdLas Vegas, NV 89102-1839
Phone 702-900-7698
Mailing address
3157 N Rainbow Blvd Ste K7-247Las Vegas, NV 89108-4578
Phone 702-900-7698
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