Santina Mata

NPI #1922625698 in Cheyenne, Wyoming

Provider Information

NPI Number
1922625698
Entity Type
Individual
Name
Santina Mata
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jun 29, 2020
Last Updated
Jun 29, 2020

Practice Location

Address
3120 OLD FAITHFUL RD STE 100
State
Wyoming
ZIP Code
82001-5890
Phone
(307) 369-1410

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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