Provider Demographics
NPI:1144886417
Name:MATOS FRANCESCHINI, PAOLA ALEXANDRA
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:ALEXANDRA
Last Name:MATOS FRANCESCHINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 FORRESTER ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3539
Mailing Address - Country:US
Mailing Address - Phone:787-356-5141
Mailing Address - Fax:
Practice Address - Street 1:613 FORRESTER ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3539
Practice Address - Country:US
Practice Address - Phone:787-356-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst