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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
1103K00000XBehavior Analyst181NC
2106S00000XBehavior Technician

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 : 03/24/2026

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Directions to “ DIAMONIQUE BANKS ” Practice Location

Language Start Address Practice Location
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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