Individual
MR. MATT ELI MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 W MOANA LN, SUITE 2, RENO, NV 89509-4775
(775) 337-2394
(775) 337-9570
Mailing address
16039 GREEN SPRINGS DR, RENO, NV 89511-8161
(775) 848-5614
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2013
Last updated
08/22/2013
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