Individual
MRS. SAMANTHA JEAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 NW KELLY DR STE A, PARKVILLE, MO 64152-4027
(816) 469-5162
Mailing address
526 W 1ST ST APT 1, JUNCTION CITY, KS 66441-3984
(757) 822-0706
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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