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Individual

MATTHEW MICHAEL CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11623 ANGUS RD # E20, AUSTIN, TX 78759-4003
(512) 827-7011
Mailing address
11623 ANGUS RD # E20, AUSTIN, TX 78759-4003
(512) 827-7011

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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Product
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