Individual provider · Type 1 NPI

Robert Miguel Matos

Developmental Therapist · Queens Village, NY

NPI number 1225462906 Active

Practice location

21725 Hempstead Ave
Queens Village, NY 11429-1225

Mailing address

20703 Prince Ranier Pl
Leesburg, FL 34748

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X641090 (NY)
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1225462906

Robert Miguel Matos's National Provider Identifier is 1225462906, issued on Aug 29, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Queens Village, NY. The record was last updated on Oct 16, 2014.