Individual
ALMA ELIZABETH MATA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 N HAMPTON RD STE 150, DESOTO, TX 75115-8324
(469) 659-7216
Mailing address
1510 N HAMPTON RD STE 150, DESOTO, TX 75115-8324
(469) 659-7216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1222041
TX
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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