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NPI Code Detail

MEDICARE: LESLIE DIAZ RBT

MEDICARE: LESLIE DIAZ RBT
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 TechnicianRBT-26-512465IL

General Provider Information

NPI Number : 1457282378
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE DIAZ RBT
Provider Business Mailing Address
First Line : 2151 OLD ROCKY RIDGE RD STE 100
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-7251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2901 FINLEY RD STE 102
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1774
Country : US
Telephone Number : 317-520-4748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ LESLIE DIAZ RBT” Practice Location

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