Anthony Matrisotto, MAT, BCBA
Behavior Analyst in Saint Louis, MO. Individual provider (NPI-1).
NPI number1033780481
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1033780481
- Entity type
- Individual (NPI-1)
- Name
- Anthony Matrisotto
- Credential
- MAT, BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jul 1, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 2021025085 | MO | Yes |
Practice location
12110 Clayton RdSaint Louis, MO 63131-2599
Phone 314-989-8100
Mailing address
12110 Clayton RdSaint Louis, MO 63131-2599
Phone 314-989-8100
Other practice locations
900 Hornet Dr
Hazelwood, MO 63042-2310
Hazelwood, MO 63042-2310
Phone 314-989-7874
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