Individual
AIDALY MATANCILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8620 B ST, OAKLAND, CA 94621-1628
(510) 424-4273
Mailing address
1075 CREEKSIDE RIDGE DR STE 280, ROSEVILLE, CA 95678-3504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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