Most Relevant Information
Provider Data
| NPI Number: | 1003578071 |
| Provider Name: | CHRISTINA DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2021 |
| Last Updated: | 10/07/2021 |
Provider Practice Location
15641 78TH ST APT 3
HOWARD BEACH
NY
114142515
Practice Location Phone/Fax
| Phone: | 3475179917 |
| Fax: |
Provider Mailing Location
2763 W 16TH ST
BROOKLYN
NY
112242707
Provider Mailing Phone/Fax
| Phone: | 3475179917 |
| Fax: |