MEDICARE: ISABELLE ALLISON DIAZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1831057116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLE ALLISON DIAZ

Provider Business Mailing Address
First Line	:	21230 N 91ST DR
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-5350
Country	:	US
Telephone Number	:	719-639-3146
Fax Number	:

Provider Business Practice Location Address
First Line	:	21230 N 91ST DR
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-5350
Country	:	US
Telephone Number	:	719-639-3146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ISABELLE ALLISON DIAZ ” Practice Location

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