Individual
DKOYA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SHONEY DR SW STE 115, HUNTSVILLE, AL 35801-5450
(256) 692-9262
Mailing address
810 SHONEY DR SW STE 115, HUNTSVILLE, AL 35801-5450
(256) 692-9262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
593796
AL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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