-- DIANE BLACK --
Individual Provider (NPI-1)
Active
Behavior Analyst
Provider Information
- NPI Number
1366827719- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 205 E PARK AVE, ANACONDA, MT, 597112340
- Phone
- (406) 727-7200
Specialties & Taxonomies
Behavior Analyst
Primary License: MT #PSY-BA-LIC-2482
All Addresses
MAILING
205 E PARK AVE
ANACONDA, MT, 597112340