Individual
CHARLENA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 DISSTON ST, PHILADELPHIA, PA 19111-4504
(215) 801-5530
(215) 801-5530
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA429
NV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2018
Last updated
11/17/2023
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