Deja A Mathis

NPI #1235714239 in Minot, North Dakota

Provider Information

NPI Number: 1235714239
Entity Type: Individual
Name: Deja A Mathis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 11, 2021
Last Updated: Mar 11, 2021

Practice Location

Address: 100 MAIN ST S
City: Minot
State: North Dakota
ZIP Code: 58701-3914
Phone: (601) 214-9609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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