DOMINIQUE DIAZ

Behavior Technician

Active Individual
NPI: 1124612866

Practice Address

1317 OAKDALE RD STE 610
Modesto, CA 95355

Phone: (855) 581-0100

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1124612866 is the National Provider Identifier for DOMINIQUE DIAZ, a Behavior Technician provider located in Modesto, CA. This NPI was enumerated on February 23, 2021.
DOMINIQUE DIAZ practices at 1317 OAKDALE RD STE 610, Modesto, CA 95355.

Quick Facts

NPI
1124612866
Type
Individual
Enumerated
Feb 23, 2021
Last Updated
Feb 23, 2021