Individual
MR. CARLOS MANUEL MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
2217 MANNING ST, BRONX, NY 10462-5001
(646) 220-9043
Mailing address
2217 MANNING ST, BRONX, NY 10462-5001
(646) 220-9043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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