Dibenedetto, Matthew

Dibenedetto, Matthew is an individual health care provider with primary practice located at 1411 W 190Th St , Gardena CA 90248-4324. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Dibenedetto, Matthew can be contacted via phone (310) 719-3908.

Contact Information

Primary practice address
1411 W 190Th St Gardena CA 90248-4324
Phone: (310) 719-3908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1891446597
LBN Legal business name Dibenedetto, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2022
Last updated Jan 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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