Most Relevant Information
Provider Data
| NPI Number: | 1003384090 |
| Provider Name: | JAYMMY MATIAS-CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2018 |
| Last Updated: | 11/07/2018 |
Provider Practice Location
170 PLEASANT ST STE 100
FALL RIVER
MA
027213015
Practice Location Phone/Fax
| Phone: | 7742945722 |
| Fax: |
Provider Mailing Location
170 PLEASANT ST STE 100
FALL RIVER
MA
027213015
Provider Mailing Phone/Fax
| Phone: | 7742945722 |
| Fax: |