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1306210356
SANDRA MATA
SAN DIEGO, CA
NPI
1306210356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
222Q00000X Developmental Therapist
Enumeration Date
2015-11-13
Last Update Date
2018-03-17
Business Address
SANDRA MATA
501 W BROADWAY STE 800
SAN DIEGO, CA 92101-3546
Phone number: 619-565-7346
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Mailing Address
SANDRA MATA
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 888-880-9270
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