Individual
ADAMARIE REBECCA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
01/31/2023
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