NPI 1578854105

Nicole Hazelton Matthews, MEDBCBA

Practitioner Developmental Therapist Midvale, UT

Practice location

Address: 7434 S. State St., Midvale, UT 84047
Phone: (801) 456-9955
Fax: (801) 456-9954
Mailing address: 7434 South State Street, Midvale, UT 84047

Registered specialties (2)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Utah →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-11-8121

Other Behavior Analyst providers in Utah →

Registry record

NPI: 1578854105
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2011
Record last updated: 7 Oct 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.