Organization
PERFECT PIECE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATOTOPA AUGUSTINE M.S, BCBA (BCBA/OWNER)
(508) 733-6392
Entity
Organization
Contact information
Practice address
150 WASHINGTON AVE, 201, SANTA FE, NM 87501-2073
(508) 733-6392
Mailing address
150 WASHINGTON AVE, 201, SANTA FE, NM 87501-2073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-10-7448
MA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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