Etelini Mevina Mataese
Behavior Technician in Roy, UT. Individual provider (NPI-1).
NPI number1659932101
StatusActive
Last updated in NPPESJan 26, 2026
Details
- NPI
- 1659932101
- Entity type
- Individual (NPI-1)
- Name
- Etelini Mevina Mataese
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2019
- Certification date
- Jan 26, 2026
- Last updated
- Jan 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Etelini Mevina Sia (Other Name)
Practice location
1858 W 5150 SRoy, UT 84067-3000
Phone 801-255-5131
Mailing address
6013 S Redwood RdTaylorsville, UT 84123-5220
Phone 801-255-5131
Other practice locations
1700 A St
Anchorage, AK 99501-5139
Anchorage, AK 99501-5139
Phone 907-743-8730
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