Individual
MATTHEW JOHN OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 ALEXANDER DR, RANDOLPH, NJ 07869-4535
(516) 456-0379
(516) 456-0379
Mailing address
14 ALEXANDER DR, RANDOLPH, NJ 07869-4535
(516) 456-0379
(516) 456-0379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21343
NJ
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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