Carlos Mata, B.S.

NPI #1023554367 in Ontario, California

Provider Information

NPI Number: 1023554367
Entity Type: Individual
Name: Carlos Mata, B.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: B.S.
Enumeration Date: Jan 10, 2017
Last Updated: Jan 10, 2017

Practice Location

Address: 3602 INLAND EMPIRE BLVD
City: Ontario
State: California
ZIP Code: 91764-4900
Phone: (909) 476-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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