Kim R Mata
NPI #1730774019 in Bothell, Washington
Provider Information
- NPI Number
- 1730774019
- Entity Type
- Individual
- Name
- Kim R Mata
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 8, 2021
- Last Updated
- Mar 8, 2021
Practice Location
- Address
- 19204 N CREEK PKWY STE 110
- City
- Bothell
- State
- Washington
- ZIP Code
- 98011-8009
- Phone
- (818) 241-6780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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