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Dyani Marie Farias

Behavior Technician in Riverbank, CA. Individual provider (NPI-1).

NPI number1982174447
StatusActive
Last updated in NPPESNov 27, 2018

Details

NPI
1982174447
Entity type
Individual (NPI-1)
Name
Dyani Marie Farias
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 27, 2018
Last updated
Nov 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5501 Antique Rose Way
Riverbank, CA 95367-9505

Phone 209-521-4794

Mailing address

3425 Coffee Rd
Modesto, CA 95355-1582

Phone 209-521-4791

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