Tiara Mattox
Tiara Mattox is a Child Intellectual and/or Developmental Disabilities Respite Care in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
120 Casals Pl Apt 13CBronx, NY 10475-3138
Phone: (917) 639-8277
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Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X |
|---|
Record details
| NPI number | 1194477901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2022 |
| Last updated in NPPES | January 23, 2022 |
| Certification date | January 23, 2022 |
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