John Noveno Matienzo
John Noveno Matienzo is a Behavior Technician in Fremont, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
39210 State St Ste 220Fremont, CA 94538-1456
Phone: (510) 894-4135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 46-1305562 (CA) |
|---|
Record details
| NPI number | 1457061772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 28, 2022 |
| Last updated in NPPES | November 28, 2022 |
| Certification date | November 28, 2022 |
| Mailing address | 566 Via Manzanas Apt 6, San Lorenzo, CA 94580-2947 |
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