Sandstrom, Matthew

Sandstrom, Matthew is an individual health care provider with primary practice located at 2307 Ne 4Th St Apt D203 , Renton WA 98056-4097. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Sandstrom, Matthew can be contacted via phone (425) 589-0625.

Contact Information

Primary practice address
2307 Ne 4Th St Apt D203 Renton WA 98056-4097
Phone: (425) 589-0625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Washington
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Washington
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Washington

Profile Details

NPI number 1104398924
LBN Legal business name Sandstrom, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2018
Last updated Dec 18th, 2018 - about 7 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 1104398924 NPPES
Washington MEDICAID 111524501

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