Stephanie Diaz
Behavior Technician in Monrovia, CA. Individual provider (NPI-1).
NPI number1619702321
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1619702321
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Diaz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1333 S Mayflower AveMonrovia, CA 91016-4066
Phone 818-241-6780
Mailing address
1333 S Mayflower AveSuite 220
Monrovia, CA 91016-4066
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