Taylah Mata

NPI #1790429413 in Jal, New Mexico

Provider Information

NPI Number: 1790429413
Entity Type: Individual
Name: Taylah Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 27, 2022
Last Updated: Apr 27, 2022

Practice Location

Address: 24 SANDY LANE
City: Jal
State: New Mexico
ZIP Code: 88252
Phone: (575) 552-5029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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