Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003402389 |
---|---|
Provider Name | Evan F Matheny |
First Address | Chillicothe, OH 45601-0188 |
Second Address | Vincent, OH 45784-5650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2020 |
Last Update Date | 21/12/2020 |