MR. Brendon Chase Mathis, RBT-17-2922-3
NPI #1316437288 in Allen Park, Michigan
Provider Information
- NPI Number
- 1316437288
- Entity Type
- Individual
- Name
- MR. Brendon Chase Mathis, RBT-17-2922-3
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- RBT-17-2922-3
- Enumeration Date
- May 15, 2018
- Last Updated
- May 15, 2018
Practice Location
- Address
- 15218 RUSSELL AVE
- City
- Allen Park
- State
- Michigan
- ZIP Code
- 48101-2967
- Phone
- (313) 670-7470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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