Individual
KRISTIN MATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 OAKBRIDGE DR, POWHATAN, VA 23139-8063
(804) 477-6393
Mailing address
1506 AUTUMN HONEY CT APT D, HENRICO, VA 23229-5213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
10/24/2024
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