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Individual
MR. MATTHEW ALAN DAVIDSON
Active
Individual
MR. MATTHEW ALAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-13263
MS
103K00000X
Behavior Analyst
160010
MS
103K00000X
Behavior Analyst
Primary
LBA0000000387
TN
Other
Enumeration date
03/26/2013
Last updated
10/29/2020
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