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Individual
MATT WORKMAN
Active
Individual
MATT WORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA0000174
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0000174
DIVISION OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
TN
Enumeration date
11/16/2015
Last updated
09/10/2018
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