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Individual

MICHAEL MATAMUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCABA

Contact information

Practice address
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120-1173
(505) 788-6770
Mailing address
4147 SUMMIT PARK RD NE, RIO RANCHO, NM 87144-1601
(808) 277-4976

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10195
CA

Other

Enumeration date
10/03/2024
Last updated
10/03/2024
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