Individual
MR. DAVID MATHISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3107 SPEEDWAY APT 102, AUSTIN, TX 78705-2828
(205) 401-0884
Mailing address
3107 SPEEDWAY APT 102, AUSTIN, TX 78705-2828
(205) 401-0884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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