Individual
FLOR MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7822 N 153RD ST, BENNINGTON, NE 68007-1565
(402) 885-3437
Mailing address
7822 N 153RD ST, BENNINGTON, NE 68007-1565
(402) 885-3437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-219756
NE
Other
Enumeration date
06/13/2022
Last updated
02/19/2025
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