IndividualActive
Tiara Mattox
NPI 1194477901 · Child Intellectual and/or Developmental Disabilities Respite Care · Bronx, NY
Provider details
- NPI number
- 1194477901
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
120 Casals Pl Apt 13c
Bronx, NY 10475-3138
Registry dates
- Enumerated
- 2022-01-23
- Last updated
- 2022-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.