Weatherford, Matthew Wayne
Weatherford, Matthew Wayne is an sole proprietor health care provider with primary practice located at 2815 Exchange Blvd 100, Southlake TX 76092-7514. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Weatherford, Matthew Wayne can be contacted via phone (817) 479-9000.Contact Information
Primary practice address
2815 Exchange Blvd 100
Southlake TX 76092-7514
Phone: (817) 479-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1119293 | Texas |
Profile Details
| NPI number | 1073882536 |
|---|---|
| LBN Legal business name | Weatherford, Matthew Wayne |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2011 |
| Last updated | Dec 29th, 2011 - about 13 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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