Jeanne Diaz
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1265998629
StatusActive
Last updated in NPPESFeb 11, 2019
Details
- NPI
- 1265998629
- Entity type
- Individual (NPI-1)
- Name
- Jeanne Diaz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2019
- Last updated
- Feb 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
16885 Via Del Campo Ct Ste 314San Diego, CA 92127-1753
Phone 858-987-4143
Mailing address
1206 Granite Springs DrChula Vista, CA 91915-2504
Phone 619-254-3326
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