Individual
MATTHEW MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
675 MAIN ST STE 19, LEWISTON, ME 04240-5872
(207) 783-7473
Mailing address
675 MAIN ST STE 19, LEWISTON, ME 04240-5872
(207) 783-7473
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13169
ME
Other
Enumeration date
06/20/2014
Last updated
03/23/2017
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