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Individual
REGINA MATA-ELIZALDE
Active
Individual
REGINA MATA-ELIZALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41384
TX
Other
Enumeration date
01/08/2018
Last updated
03/05/2020
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