Individual
EVAN F MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1100 9TH ST STE F, VIENNA, WV 26105-2176
(304) 485-0791
Mailing address
1104 26TH ST APT 3, VIENNA, WV 26105-2371
(814) 232-6004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
02/27/2026
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