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Matias Pontes

Behavior Technician in Hialeah, FL. Individual provider (NPI-1).

NPI number1073370201
StatusActive
Last updated in NPPESMar 4, 2024

Details

NPI
1073370201
Entity type
Individual (NPI-1)
Name
Matias Pontes
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 4, 2024
Certification date
Mar 4, 2024
Last updated
Mar 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5911 Nw 173rd Dr Unit 11
Hialeah, FL 33015-5122

Phone 786-655-9992

Mailing address

18181 Ne 31st Ct
Aventura, FL 33160-2655

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