Provider Demographics
NPI:1215740386
Name:AL BEHADILI, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:AL BEHADILI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17206 90TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-2237
Mailing Address - Country:US
Mailing Address - Phone:253-533-4606
Mailing Address - Fax:
Practice Address - Street 1:17206 90TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-2237
Practice Address - Country:US
Practice Address - Phone:253-533-4606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor