Alycia Brianna Mata

NPI #1801457015 in Spokane, Washington

Provider Information

NPI Number: 1801457015
Entity Type: Individual
Name: Alycia Brianna Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 27, 2019
Last Updated: Jun 27, 2019

Practice Location

Address: 5709 W SUNSET HWY STE 101
City: Spokane
State: Washington
ZIP Code: 99224-9446
Phone: (209) 273-9509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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