Individual
BRADLEY MATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18550 W MILLBURN RD, OLD MILL CREEK, IL 60083-9248
(847) 916-7375
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 695-2277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
04/03/2019
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