Individual provider · NPI-1

Elizabeth Deitz

Behavior Analyst · Valley Village, CA

NPI number1184503369
StatusActive
Last updated in NPPESSep 1, 2025

Details

NPI
1184503369
Entity type
Individual (NPI-1)
Name
Elizabeth Deitz
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2025
Certification date
Aug 31, 2025
Last updated
Sep 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

4550 Laurel Canyon Blvd Apt 101
Valley Village, CA 91607-4159

Phone 614-314-4599

Mailing address

4550 Laurel Canyon Blvd Apt 101
Valley Village, CA 91607-4159

Phone 614-314-4599

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