Individual
DORA E. MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 NE 134TH ST STE 110, VANCOUVER, WA 98685-2721
(360) 518-6249
Mailing address
10901 NE 75TH ST, VANCOUVER, WA 98662-4609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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