Provider Demographics
NPI:1851746598
Name:CRAFFEY, DIANA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:CRAFFEY
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 1:9407 HIGH CLIFFE ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6458
Mailing Address - Country:US
Mailing Address - Phone:201-321-1624
Mailing Address - Fax:
Practice Address - Street 1:9407 HIGH CLIFFE ST
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6458
Practice Address - Country:US
Practice Address - Phone:201-321-1624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst