Mateo Jesus Cabanillas
Behavior Technician in Phoenix, AZ. Individual provider (NPI-1).
NPI number1093513541
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1093513541
- Entity type
- Individual (NPI-1)
- Name
- Mateo Jesus Cabanillas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2025
- Certification date
- Feb 26, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
20145 N 9th Place Ste 204Phoenix, AZ 85024
Phone 520-505-2810 · Fax 602-581-3026
Mailing address
20145 N 9th Place Ste 204Phoenix, AZ 85024
Phone 520-505-2810 · Fax 602-581-3026
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