MR. Matthew Wayne Weatherford, BCBA

NPI #1073882536 in Southlake, Texas

Provider Information

NPI Number: 1073882536
Entity Type: Individual
Name: MR. Matthew Wayne Weatherford, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Dec 29, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 2815 EXCHANGE BLVD
Address 2: 100
City: Southlake
State: Texas
ZIP Code: 76092-7514
Phone: (817) 479-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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