Matthew Conklin
Matthew Conklin is a Behavior Analyst in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2021.
- Licensed in
- VA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
7771 Ashton AveManassas, VA 20109-2879
Phone: (703) 492-2686
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence BACB662298 (VA) |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X · Licence BACB662298 (VA) |
Record details
| NPI number | 1841874328 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2021 |
| Last updated in NPPES | May 11, 2021 |
| Certification date | May 11, 2021 |
| Mailing address | 10330 Tito Ct, Manassas, VA 20110-6172 |
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