Organization
MATRIX BEHAVIOR SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN ANN KHAN M.ED., BCBA (PRESIDENT)
(570) 234-3989
Entity
Organization
Contact information
Practice address
175 E BROWN ST STE 202, EAST STROUDSBURG, PA 18301-3098
(570) 234-3989
(570) 234-3986
Mailing address
175 E BROWN ST STE 202, EAST STROUDSBURG, PA 18301-3098
(570) 234-3989
(570) 234-3986
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902288418
CAQH
PA
Enumeration date
06/24/2018
Last updated
05/06/2024
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