Mato Topa Augustine, B.C.B.A

NPI #1467898759 in Kentwood, Michigan

Provider Information

NPI Number: 1467898759
Entity Type: Individual
Name: Mato Topa Augustine, B.C.B.A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: B.C.B.A
Enumeration Date: May 14, 2013
Last Updated: May 14, 2013

Practice Location

Address: 3361 36TH ST SE
City: Kentwood
State: Michigan
ZIP Code: 49512-2809
Phone: (616) 942-2522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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