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Fany Roosmery Diaz

Behavior Technician in Triangle, VA. Individual provider (NPI-1).

NPI number1619777828
StatusActive
Last updated in NPPESMar 17, 2025

Details

NPI
1619777828
Entity type
Individual (NPI-1)
Name
Fany Roosmery Diaz
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 17, 2025
Certification date
Mar 17, 2025
Last updated
Mar 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3496 Scelzi Ct
Triangle, VA 22172-2125

Phone 540-422-3240

Mailing address

8700 Centreville Rd Ste 8696
Manassas, VA 20110-8430

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