Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keziamol Mathew

Individual provider Behavior Technician · NPI 1114608593

Keziamol Mathew is a Behavior Technician in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

6529 Riverside Ave Ste 230
Riverside, CA 92506-3126
Phone: (951) 228-2832
Fax: (714) 333-4535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114608593
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing addressPo Box 53413, Irvine, CA 92619-3413

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