Individual provider · NPI-1

Matt Alford, MS, BCBA

Behavior Analyst · Crestview, FL

NPI number1316676760
StatusActive
Last updated in NPPESFeb 5, 2024

Details

NPI
1316676760
Entity type
Individual (NPI-1)
Name
Matt Alford
Credential
MS, BCBA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2022
Certification date
Feb 5, 2024
Last updated
Feb 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-19-35601FLYes

Practice location

122 Twin Oak Dr
Crestview, FL 32536-9383

Phone 850-398-7809

Mailing address

122 Twin Oak Dr
Crestview, FL 32536-9383

Phone 850-398-7809

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