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1073882536
MATTHEW WAYNE WEATHERFORD
SOUTHLAKE, TX
NPI
1073882536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 1119293)
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
Mr. MATTHEW WAYNE WEATHERFORD BCBA
2815 EXCHANGE BLVD 100
SOUTHLAKE, TX 76092-7514
Phone number: 817-479-9000
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Mailing Address
Mr. MATTHEW WAYNE WEATHERFORD BCBA
5001 PAR DR APT 3613
DENTON, TX 76208-6786
Phone number: 940-368-4597
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