Most Relevant Information
Provider Data
| NPI Number: | 1003242835 |
| Provider Name: | KEISY DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2013 |
| Last Updated: | 09/25/2013 |
Provider Practice Location
5483 CACTUS THORN AVE APT D
LAS VEGAS
NV
891186017
Practice Location Phone/Fax
| Phone: | 3475497780 |
| Fax: |
Provider Mailing Location
5483 CACTUS THORN AVE APT D
LAS VEGAS
NV
891186017
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |