NPI | 1124481973 |
---|---|
Professional Name | MATT OELKE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 140-140) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN 1385) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-07-03 |