Most Relevant Information
Provider Data
| NPI Number: | 1003405879 |
| Provider Name: | ALEJANDRA DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2021 |
| Last Updated: | 08/29/2021 |
Provider Practice Location
4688 ONTARIO MILLS PKWY
ONTARIO
CA
917645104
Practice Location Phone/Fax
| Phone: | 7148341111 |
| Fax: |
Provider Mailing Location
1055 E. COLORADO BLVD. SUITE 560 PASADENA, CA 91106
PASADENA
CA
91106
Provider Mailing Phone/Fax
| Phone: | 8182416780 |
| Fax: | 8182416853 |