Matthew Rein Larson

NPI #1396563110 in Centerville, Utah

Provider Information

NPI Number: 1396563110
Entity Type: Individual
Name: Matthew Rein Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 1, 2024
Last Updated: Oct 1, 2024

Practice Location

Address: 283 E 300 S
City: Centerville
State: Utah
ZIP Code: 84014-2258
Phone: (801) 897-5604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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