Barnes, Matthew George

Barnes, Matthew George is an sole proprietor health care provider with primary practice located at 25 Beech Dr , Edgewood KY 41017-2302. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Barnes, Matthew George can be contacted via phone (502) 689-8147.

Contact Information

Primary practice address
25 Beech Dr Edgewood KY 41017-2302
Phone: (502) 689-8147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 00981 Ohio
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 268643 Kentucky

Profile Details

NPI number 1720739600
LBN Legal business name Barnes, Matthew George
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2022
Last updated Mar 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720739600 NPPES
Other 00981 CERTIFIED OHIO BEHAVIOR ANALYST (COBA)
Other 268643 CERTIFIED OHIO BEHAVIOR ANALYST (COBA)

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