Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013209097 |
---|---|
Provider Name | Julie Diago |
First Address | Delray Beach, FL 33484-8427 |
Second Address | Delray Beach, FL 33484-8427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2011 |
Last Update Date | 16/09/2021 |