Individual
MCKENNA MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
7041 TRANSIT RD, EAST AMHERST, NY 14051-1108
(888) 805-0759
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003936
NY
103K00000X
Behavior Analyst
0133004056
VA
Other
Enumeration date
09/07/2021
Last updated
03/21/2025
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