Individual
MARK MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
482 E 167TH ST, APT 2C, BRONX, NY 10456-4438
(929) 287-8529
Mailing address
482 E 167TH ST, APT 2C, BRONX, NY 10456-4438
(929) 287-8529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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