Suzanne Elizabeth Mata, is a
Behavior Technician based in Rancho Cucamonga, California. Suzanne Elizabeth Mata is licensed to practice in NU (license number ) and her current practice location is
11777 Sebastian Way Ste 102, Rancho Cucamonga, California. She can be reached at her office (for appointments etc.) via phone at
(909) 838-0044.
NPI number for Suzanne Elizabeth Mata is 1073953170 and her current mailing address is 713 W Commonwealth Ave, Fullerton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073953170.
Healthcare Provider's Profile
| Full Name | Suzanne Elizabeth Mata |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 11777 Sebastian Way Ste 102, Rancho Cucamonga, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073953170
- Provider Enumeration Date: 07/03/2013
- Last Update Date: 03/01/2019
Medical Identifiers
Medical identifiers for Suzanne Elizabeth Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073953170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suzanne Elizabeth Mata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Suzanne Elizabeth Mata, 713 W Commonwealth Ave, Fullerton, CA 92832-1612 Ph: (714) 879-4274 | Suzanne Elizabeth Mata, 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730-0707 Ph: (909) 838-0044 |
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