Fuentes, Diana

Fuentes, Diana is an individual health care provider with primary practice located at 1115 14Th St , Modesto CA 95354-1003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Fuentes, Diana can be contacted via phone (209) 572-2589.

Contact Information

Primary practice address
1115 14Th St Modesto CA 95354-1003
Phone: (209) 572-2589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-16-23475 California
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X California

Profile Details

NPI number 1669974572
LBN Legal business name Fuentes, Diana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Jan 22nd, 2020 - 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