Individual
STEFAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17520 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3903
(225) 300-6710
Mailing address
105 DOGWOOD DR, LAFAYETTE, LA 70501-3109
(337) 446-6845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-984
LA
106S00000X
Behavior Technician
011307154
LA
Other
Enumeration date
08/24/2019
Last updated
05/19/2025
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