Mata, Sandra

Mata, Sandra is an individual health care provider with primary practice located at 501 W Broadway Ste 800 , San Diego CA 92101-3546. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Mata, Sandra can be contacted via phone (619) 565-7346.

Contact Information

Primary practice address
501 W Broadway Ste 800 San Diego CA 92101-3546
Phone: (619) 565-7346
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1306210356
LBN Legal business name Mata, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2015
Last updated Mar 17th, 2018 - about 6 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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