Bethzaida Mata

NPI #1033688205 in Ontario, California

Provider Information

NPI Number: 1033688205
Entity Type: Individual
Name: Bethzaida Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2018
Last Updated: Nov 17, 2018

Practice Location

Address: 1801 EXCISE AVE STE 116
City: Ontario
State: California
ZIP Code: 91761-8557
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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