Individual
DANIEL W MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
507 N FRANKLIN ST, RAYMORE, MO 64083-9572
(816) 853-0946
Mailing address
507 N FRANKLIN ST, RAYMORE, MO 64083-9572
(816) 853-0946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011000574
MO
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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