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Jorge Elier Diez

Behavior Technician in City Of Industry, CA. Individual provider (NPI-1).

NPI number1467071092
StatusActive
Last updated in NPPESApr 14, 2020

Details

NPI
1467071092
Entity type
Individual (NPI-1)
Name
Jorge Elier Diez
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2020
Certification date
Apr 14, 2020
Last updated
Apr 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

17595 Almahurst St
City Of Industry, CA 91748-1779

Phone 626-344-4434

Mailing address

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

Phone 949-833-2237

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