Most Relevant Information
Provider Data
| NPI Number: | 1003286220 |
| Provider Name: | MICHELLE DIAZ MS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-21-47252 |
Most Important Dates
| Enumeration Date: | 09/30/2015 |
| Last Updated: | 12/02/2021 |
Provider Practice Location
109 OAK ST
NEWTON
MA
024641492
Practice Location Phone/Fax
| Phone: | 7867680882 |
| Fax: |
Provider Mailing Location
109 OAK ST
NEWTON
MA
024641492
Provider Mailing Phone/Fax
| Phone: | 7867680882 |
| Fax: |