Individual
MATTHEW SARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED., BCBA
Contact information
Practice address
639 JOHN CARTER RD, BLOOMINGDALE, GA 31302-8065
(912) 321-3304
Mailing address
50 WILLOW OAK DR, RICHMOND HILL, GA 31324-4066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22398
CO
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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