| NPI | 1558631374 |
|---|---|
| Other Name | MARYKATE MATTIACCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-23602) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 233533881) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2024-01-02 |