Individual
MR. KEN JOHN MATSKO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS BSL
Contact information
Practice address
1104 S MAIN ST, TAYLOR, PA 18517-2106
(570) 589-1292
Mailing address
1104 S MAIN ST, TAYLOR, PA 18517-2106
(570) 589-1292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001844
PA
Other
Enumeration date
07/03/2014
Last updated
11/06/2014
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