Individual
MATTHEW RYAN WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 OLD SHEPARD PL STE 308, PLANO, TX 75093-5272
(469) 554-5317
Mailing address
3823 WESTMINSTER DR, CARROLLTON, TX 75007-2628
(469) 554-5317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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