| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DIANA RODRIGUEZ GONZALEZ | 1477280667 | 2022-08-08 |
Diana Rodriguez Gonzalez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477280667. Registration indicates Diana Rodriguez Gonzalez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Diana Rodriguez Gonzalez |
| Practice Office Address | 27777 INKSTER RD STE 100 FARMINGTON HILL, MI US |
| Practice Office Telephone | 2484364400 |
| Mailing Address | 27777 INKSTER RD STE 100 FARMINGTON HILLS, MI 483345312 US |
| Business Telephone | 2484364400 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |