Diaz, Johan

Diaz, Johan is an individual health care provider with primary practice located at 1191 Central Blvd Ste A , Brentwood CA 94513-2253. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Diaz, Johan can be contacted via phone (855) 223-7123.

Contact Information

Primary practice address
1191 Central Blvd Ste A Brentwood CA 94513-2253
Phone: (855) 223-7123
Fax: (619) 374-7134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1881280626
LBN Legal business name Diaz, Johan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2020
Last updated Apr 7th, 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.

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