Jaeda Mattis

NPI #1699439083 in Moosic, Pennsylvania

Provider Information

NPI Number: 1699439083
Entity Type: Individual
Name: Jaeda Mattis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 22, 2021
Last Updated: Oct 22, 2021

Practice Location

Address: 4113 BIRNEY AVE
City: Moosic
State: Pennsylvania
ZIP Code: 18507-1301
Phone: (570) 489-5561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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