SUZANNE ELIZABETH MATA

RANCHO CUCAMONGA, CA
NPI1073953170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies106H00000X Marriage & Family Therapist
Enumeration Date2013-07-03
Last Update Date2019-03-01
Business Address
SUZANNE ELIZABETH MATA
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730-0707
Phone number: 909-838-0044
Mailing Address
SUZANNE ELIZABETH MATA
713 W COMMONWEALTH AVE
FULLERTON, CA 92832-1612
Phone number: 714-879-4274
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