Maria R Diaz

Individual provider Active NPI Behavior Analyst · Anthony, NM

NPI 1609145291 · NPPES record last updated Dec 28, 2011

Key facts

NPI
1609145291
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
399 San Antonio St.
Anthony, NM 88021
Phone
(915) 471-0417
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

399 San Antonio St.
Anthony, NM 88021

Mailing address

399 San Antonio St
Anthony, NM 88021-8707
Phone (915) 471-0417

Other providers in Anthony, NM

All providers in Anthony, NM · Behavior Analyst in New Mexico

Sources for this page

Verify at the official NPI Registry.