Alyssa Adeline Matthews
Behavior Technician in Parkville, MO. Individual provider (NPI-1).
NPI number1366093577
StatusActive
Last updated in NPPESSep 28, 2019
Details
- NPI
- 1366093577
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Adeline Matthews
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2019
- Last updated
- Sep 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 19-87077 | IL | Yes |
Practice location
6330 Nw Kelly Dr Ste AParkville, MO 64152-4027
Phone 816-569-5162
Mailing address
28200 Snipe RdRichland, MO 65556-7455
Phone 708-897-5438
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All 62 Behavior Technician providers in Parkville · All 294 providers in Parkville
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