Individual
ANGELINA H MATAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
10110 MAKELYS WAY, MANASSAS, VA 20110-6063
(570) 320-3390
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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