Teresa Mata

NPI #1083158638 in Chicago, Illinois

Provider Information

NPI Number: 1083158638
Entity Type: Individual
Name: Teresa Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 15, 2016
Last Updated: Dec 15, 2016

Practice Location

Address: 1845 W EDDY ST
City: Chicago
State: Illinois
ZIP Code: 60657-1006
Phone: (312) 965-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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