Individual
MATTHEW MASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 N INTERSTATE 10 SERVICE RD W, METAIRIE, LA 70006
(888) 880-9270
Mailing address
4440 ELBA ST, NEW ORLEANS, LA 70125-2812
(410) 598-9350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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