Individual
MATTHEW NISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 SUDBROOK LN, PIKESVILLE, MD 21208-4130
(443) 353-9547
(866) 840-6040
Mailing address
115 SUDBROOK LN, PIKESVILLE, MD 21208-4130
(443) 353-9547
(866) 840-6040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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