Individual
BRYN MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 SE BROWNING AVE, LEES SUMMIT, MO 64081-2922
(816) 301-4533
Mailing address
913 SHEIDLEY AVE, BONNER SPRINGS, KS 66012-9514
(816) 204-0867
(816) 439-8018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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