Whalio Doctors

NPI 1841019221

Michael Matamua, BCABA

Practitioner Assistant Behavior Analyst Albuquerque, NM

Practice location

Address
2929 Coors Blvd NW, Albuquerque, NM 87120-1173
Phone
(505) 788-6770
Mailing address
4147 Summit Park Rd NE, Rio Rancho, NM 87144-1601

Registered specialties

Assistant Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-19-10195 (CA)

Registry record

NPI
1841019221
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Oct 2024
Record last updated
3 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.