MATTHEW PROVENZINO

MONROVIA, CA
NPI1609568195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-05-23
Last Update Date2023-05-23
Business Address
MATTHEW PROVENZINO
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
Mailing Address
MATTHEW PROVENZINO
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 714-552-8703
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