Individual
HOLLY MATHUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2985 N 935 E STE 7, LAYTON, UT 84040-7318
(801) 771-0273
Mailing address
219 42ND ST, SPRINGFIELD, OR 97478-5937
(541) 224-6987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
07/27/2023
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