Matthew Provencio
Matthew Provencio is a Behavior Technician in Sacramento, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
800 Howe Ave Ste 140Sacramento, CA 95825-3965
Phone: (855) 223-7123
Fax: (619) 374-7134
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1003530122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 2, 2022 |
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