NPI 1134704570

Matthew Pack

Practitioner Behavior Analyst Huntington, WV

Practice location

Address: 10 6th Ave W, Huntington, WV 25701-0028
Phone: (304) 525-8014

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 0-20-1119 (WV)

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Registry record

NPI: 1134704570
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2021
Record last updated: 17 Mar 2021

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.