Individual
AUSTIN JAIR MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25313 51ST AVE E, GRAHAM, WA 98338-7118
(816) 888-9300
Mailing address
25313 51ST AVE E, GRAHAM, WA 98338-7118
(816) 888-9300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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