Edmar Wasington Matis

NPI #1740904721 in Lowell, Massachusetts

Provider Information

NPI Number: 1740904721
Entity Type: Individual
Name: Edmar Wasington Matis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 491 DUTTON ST
City: Lowell
State: Massachusetts
ZIP Code: 01854-4289
Phone: (781) 730-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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