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1871326066
SUMMER MADISON DIAZ
ENCINO, CA
NPI
1871326066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-24-75126)
Enumeration Date
2024-08-22
Last Update Date
2024-10-08
Business Address
SUMMER MADISON DIAZ MS, BCBA
5435 BALBOA BLVD STE 202
ENCINO, CA 91316-1570
Phone number: 310-933-4499
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Mailing Address
SUMMER MADISON DIAZ MS, BCBA
5435 BALBOA BLVD STE 202
ENCINO, CA 91316-1570
Phone number: 310-351-0354
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