Individual
MATTHEW RYAN AFFLERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 E VETERANS DR APT L203, COOKEVILLE, TN 38501-5203
(205) 539-2575
Mailing address
75 E VETERANS DR APT L203, COOKEVILLE, TN 38501-5203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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