| NPI | 1144562372 |
|---|---|
| Former Name | MATTHEW ALAN DAVISON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN LBA0000000387) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 1-13-13263) |
| 103K00000X Behavior Analyst (Licence: MS 160010) | |
| 103K00000X Behavior Analyst (Licence: 1-13-13263) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-10-29 |