Individual
MATTHEW MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 BROOKTREE RD STE 101, WEXFORD, PA 15090-9278
(412) 230-8615
Mailing address
2500 BROOKTREE RD STE 101, WEXFORD, PA 15090-9278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007312
PA
106S00000X
Behavior Technician
BACB843445
—
Other
Enumeration date
06/01/2021
Last updated
01/07/2025
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