Female

Theologia Mataras BCBA

Behavioral Analyst in Watkinsville, GA(View on Map)

Full Name

Theologia Mataras BCBA

NPI Number

1659051571

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/25/2023

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

1-14-17092

Contact
Information

Purpose

Mailing
Location

Address

3500 DEPAUW BLVD STE 3070
1272 VIRGIL LANGFORD RD STE 101

City

Indianapolis
Watkinsville

State

IN
GA

Postal Code

46268-6135
30677-7245

Country

US
US

Telephone Number

(855) 324-0885
(706) 449-0273

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/25/2023

Provider Address

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