Sofia Isabela Diez

NPI #1154204683 in Lake Orion, Michigan

Provider Information

NPI Number: 1154204683
Entity Type: Individual
Name: Sofia Isabela Diez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 30, 2025
Last Updated: Jul 30, 2025

Practice Location

Address: 1236 S LAPEER RD
City: Lake Orion
State: Michigan
ZIP Code: 48360-1433
Phone: (248) 929-9220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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