Mattatall, Kimberly Michelle

Mattatall, Kimberly Michelle is an individual health care provider with primary practice located at 23046 Avenida De La Carlota Ste 600 , Laguna Hills CA 92653-1537. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mattatall, Kimberly Michelle can be contacted via phone (949) 543-6950.

Contact Information

Primary practice address
23046 Avenida De La Carlota Ste 600 Laguna Hills CA 92653-1537
Phone: (949) 543-6950
Fax: (888) 403-6922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-9559 California

Profile Details

NPI number 1992108393
LBN Legal business name Mattatall, Kimberly Michelle
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Mar 1st, 2019 - about 5 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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