Individual
MISS DIANA EDITH MATOVU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6 SPINET RD, NEWARK, DE 19713-3512
(302) 803-2895
Mailing address
6 SPINET RD, NEWARK, DE 19713-3512
(302) 803-2895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181135
DE
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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