Individual
AMBER MARIE MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9410 DUGAS DR, SAN ANTONIO, TX 78245-1869
(210) 340-2627
Mailing address
9410 DUGAS DR, SAN ANTONIO, TX 78245-1869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55384
TX
103K00000X
Behavior Analyst
4636
TX
106S00000X
Behavior Technician
RBT-20-112154
TX
Other
Enumeration date
02/18/2020
Last updated
11/20/2021
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