Most Relevant Information
Provider Data
| NPI Number: | 1003416447 |
| Provider Name: | SAMANTHA DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2020 |
| Last Updated: | 08/09/2023 |
Provider Practice Location
333 S BEAUDRY AVE
LOS ANGELES
CA
900171466
Practice Location Phone/Fax
| Phone: | 2132413841 |
| Fax: | 2132413305 |
Provider Mailing Location
333 S BEAUDRY AVE
LOS ANGELES
CA
900171466
Provider Mailing Phone/Fax
| Phone: | 2132413841 |
| Fax: | 2132413305 |