Matthew Sandstrom

NPI #1104398924 in Renton, Washington

Provider Information

NPI Number: 1104398924
Entity Type: Individual
Name: Matthew Sandstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 18, 2018
Last Updated: Dec 18, 2018

Practice Location

Address: 2307 NE 4TH ST APT D203
City: Renton
State: Washington
ZIP Code: 98056-4097
Phone: (425) 589-0625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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