NPI 1003422759

Matthew Prosch

Practitioner Behavior Technician Vestavia, AL

Practice location

Address: 200 Vestavia Pkwy STE 2400, Vestavia, AL 35216-3797
Phone: (312) 965-2997
Mailing address: 306 N Kensington Ave, La Grange Park, IL 60526-1870

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Alabama →

Registry record

NPI: 1003422759
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2020
Record last updated: 18 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.