Individual
ESTEFANY MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6385 CORPORATE DR, COLORADO SPRINGS, CO 80919-5901
(520) 448-9005
Mailing address
1605 E 143RD AVE, BRIGHTON, CO 80602-5902
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
RBT-24-370790
CO
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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