Individual
AESHA MATIEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S BCBA
Contact information
Practice address
800 S BROADWAY STE 310, WALNUT CREEK, CA 94596-5218
(925) 431-9011
Mailing address
1050 LAKE BLVD APT 32, DAVIS, CA 95616-2645
(925) 431-9011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/26/2018
Last updated
09/13/2021
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