Individual
JESSICA MATCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1250 S AW GRIMES BLVD, ROUND ROCK, TX 78664-7429
(512) 661-4387
(512) 717-5553
Mailing address
1250 S AW GRIMES BLVD, ROUND ROCK, TX 78664-7429
(512) 661-4387
(512) 717-5553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20086
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487
STATE LICENSE
TX
Enumeration date
10/13/2015
Last updated
06/08/2022
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