Male or Other

Matthew Villa

Behavior Technician in Farmington Hills, MI(View on Map)

Full Name

Matthew Villa

NPI Number

1871287334

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/07/2023

Specialties

(Taxonomies)

Code

106S00000X

Primary Taxonomy

Yes

Licenses

State

Arizona

License Number

22-250437

Contact
Information

Purpose

Mailing
Location

Address

27777 INKSTER RD
27777 INKSTER RD

City

Farmington Hills
Farmington Hills

State

MI
MI

Postal Code

48334-5310
48334-5310

Country

US
US

Telephone Number

(248) 256-5020
(248) 256-5020

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/10/2024

Provider Address

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