Individual
BRETT MATISAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 MAIN RD, MONTVILLE, NJ 07045-9729
(973) 334-9404
Mailing address
329 MAIN RD, MONTVILLE, NJ 07045-9729
(973) 334-9404
(973) 334-7615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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