NPI 1063824647

Matt Gentry

Practitioner Behavior Analyst Poteau, OK

Practice location

Address: 210 Oak St # 300, Poteau, OK 74953-2339
Phone: (918) 649-0067
Fax: (918) 647-5285
Mailing address: PO Box 833, Poteau, OK 74953-0833

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Oklahoma →

Registry record

NPI: 1063824647
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2014
Record last updated: 29 May 2014

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.