Individual
MATT MCINTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
427 ALA MAKANI ST # 201, KAHULUI, HI 96732-3507
(808) 244-6879
(808) 873-0272
Mailing address
427 ALA MAKANI ST # 201, KAHULUI, HI 96732-3507
(808) 244-6879
(808) 873-0272
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25047
HI
103K00000X
Behavior Analyst
BCABA: 0-10-3947
CA
Other
Enumeration date
12/03/2012
Last updated
11/03/2020
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