Mattison, Russell V
Mattison, Russell V is an individual health care provider with primary practice located at 207 N Benjamin Dr , West Chester PA 19382-1945. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Mattison, Russell V can be contacted via phone (610) 316-7307.Contact Information
Primary practice address
207 N Benjamin Dr
West Chester PA 19382-1945
Phone: (610) 316-7307
Fax: (610) 436-1208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1205161171 |
|---|---|
| LBN Legal business name | Mattison, Russell V |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2009 |
| Last updated | Oct 12th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205161171 | NPPES |
| Other | 1-05-2337 | BEHAVIOR ANALYST CERTIFICATION BOARD |
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