Sebastian Diaz

NPI #1225723679 in Southlake, Texas

Provider Information

NPI Number: 1225723679
Entity Type: Individual
Name: Sebastian Diaz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2023
Last Updated: Apr 10, 2023

Practice Location

Address: 950 E STATE HIGHWAY 114 STE 160
City: Southlake
State: Texas
ZIP Code: 76092-5261
Phone: (817) 891-9083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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