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NPI Code Detail

MEDICARE: DIAMONIQUE BANKS

MEDICARE: DIAMONIQUE BANKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst181NC

General Provider Information

NPI Number : 1154846673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAMONIQUE BANKS
Provider Business Mailing Address
First Line : 201 MACKENAN DRIVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1519
Country : US
Telephone Number : 984-301-8042
Fax Number :
Provider Business Practice Location Address
First Line : 201 MACKENAN DR
Second Line :
City : CARY
State : NC
Zip : 27511-6498
Country : US
Telephone Number : 425-977-9041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2017
Last Update Date : 08/06/2025

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Directions to “ DIAMONIQUE BANKS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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