MATHEW DETERMAN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1467316737- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1310 19TH AVE NW, CLINTON, IA, 527322752
- Phone
- (574) 387-4313
Specialties & Taxonomies
Behavior Technician
Primary License: IA #RBT-25-468170
All Addresses
MAILING
1827 E IRELAND RD
SOUTH BEND, IN, 466142845