Laura Mathisen

NPI #1194032581 in Destin, Florida

Provider Information

NPI Number: 1194032581
Entity Type: Individual
Name: Laura Mathisen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 7, 2010
Last Updated: Feb 14, 2014

Practice Location

Address: 3820 MISTY WAY
City: Destin
State: Florida
ZIP Code: 32541
Phone: (205) 586-1259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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