Diaz, Javier A

Diaz, Javier A is an individual health care provider with primary practice located at 222 E Main St Ste 117 , Barstow CA 92311-2365. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Diaz, Javier A can be contacted via phone (951) 463-3419.

Contact Information

Primary practice address
222 E Main St Ste 117 Barstow CA 92311-2365
Phone: (951) 463-3419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1982161691
LBN Legal business name Diaz, Javier A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2019
Last updated Nov 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers