Individual
MATTHEW DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 W RED BANK AVE STE 103, WOODBURY, NJ 08096-1630
(718) 215-5311
(718) 865-5165
Mailing address
PO BOX 360595, PITTSBURGH, PA 15251-6595
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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