Individual
AUTUMN MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 HEAVENLY DAYS ST, INMAN, SC 29349-8339
(864) 310-8569
Mailing address
227 WHEELER RD, SPARTANBURG, SC 29302-5729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-534261
SC
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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