Joshua Matta
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164096129
StatusActive
Last updated in NPPESMay 14, 2021
Details
- NPI
- 1164096129
- Entity type
- Individual (NPI-1)
- Name
- Joshua Matta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2021
- Certification date
- May 14, 2021
- Last updated
- May 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | NV | Yes |
Practice location
6600 W Charleston Blvd Ste 111Las Vegas, NV 89146-1067
Phone 702-283-6215 · Fax 702-979-1028
Mailing address
5575 Simmons St Ste 1-491North Las Vegas, NV 89031-9009
Phone 702-283-6215 · Fax 702-979-1028
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