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Individual

DAVID MATTHEW MATHENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 SMITHVILLE CHURCH RD STE 1100, WARNER ROBINS, GA 31088-9097
(800) 832-9419
Mailing address
3121 N OAK STREET EXT, VALDOSTA, GA 31602-1099
(800) 832-9419

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/21/2023
Last updated
05/06/2024
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