Individual
MATTHEW BRYCE FRANTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
Mailing address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60328
—
106E00000X
Assistant Behavior Analyst
0-18-9293
—
106S00000X
Behavior Technician
RBT-16-15020
—
Other
Enumeration date
05/01/2018
Last updated
07/07/2022
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