Carla Diaz | San Ramon, CA • PECOS Search

Carla Diaz

Behavior Technician

Behavioral Health & Social Service Providers

2010 Crow Canyon Pl Ste 100, San Ramon, CA 94583

(925) 854-2468 (844) 262-8466

PECOS Enrollment

Based on the most recent information from CMS, provider Carla Diaz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1588141196
Provider Type
Individual
Full Name
Diaz, Carla
Gender
Female

Sole Proprietor
No
Enumeration Date
7/26/2018
Last Updated
7/27/2018

Contact Information

Practice Location

2010 Crow Canyon Pl Ste 100, San Ramon, CA 94583

(844) 262-8466

Mailing Location

4 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1679

(844) 262-8466

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License 18-58524 California