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Gloria Edith Diaz

Behavior Technician in Chula Vista, CA. Individual provider (NPI-1).

NPI number1164060133
StatusActive
Last updated in NPPESDec 20, 2019

Details

NPI
1164060133
Entity type
Individual (NPI-1)
Name
Gloria Edith Diaz
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2019
Certification date
Dec 20, 2019
Last updated
Dec 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

264 Landis Ave Ste 200
Chula Vista, CA 91910-2651

Phone 619-977-6851

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 949-833-2237

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