Provider Demographics
NPI:1407690191
Name:ACUNA, DIANNE C
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:C
Last Name:ACUNA
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 1:201 W PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-3311
Mailing Address - Country:US
Mailing Address - Phone:520-272-6070
Mailing Address - Fax:
Practice Address - Street 1:665 N GILBERT RD STE 152
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-3395
Practice Address - Country:US
Practice Address - Phone:480-241-4095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician