Individual
MS. BETHANY ANN MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
512 THOROUGHBRED DR, LAFAYETTE, LA 70507-6568
(337) 739-8005
Mailing address
512 THOROUGHBRED DR, LAFAYETTE, LA 70507-6568
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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