Matthew Prosch

NPI #1003422759 in Vestavia, Alabama

Provider Information

NPI Number: 1003422759
Entity Type: Individual
Name: Matthew Prosch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 18, 2020
Last Updated: Sep 18, 2020

Practice Location

Address: 200 VESTAVIA PKWY STE 2400
City: Vestavia
State: Alabama
ZIP Code: 35216-3797
Phone: (312) 965-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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