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NPI Code Detail

MEDICARE: MRS. DIANA HOUSSEYKI

MEDICARE: MRS. DIANA HOUSSEYKI
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
1103K00000XBehavior Analyst12472468VA

General Provider Information

NPI Number : 1124611702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANA HOUSSEYKI
Provider Business Mailing Address
First Line : PO BOX 749
Second Line :
City : BELMONT
State : NC
Zip : 28012-0749
Country : US
Telephone Number : 704-869-2088
Fax Number : 980-288-4239
Provider Business Practice Location Address
First Line : 1114 EASTCHESTER DR
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-3114
Country : US
Telephone Number : 336-802-1007
Fax Number : 336-888-3585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 07/01/2024

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Directions to “ MRS. DIANA HOUSSEYKI ” Practice Location

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