Male or Other

Matthew N. Avasakdi BCBA

Behavioral Analyst in Colorado Springs, CO(View on Map)

Full Name

Matthew N Avasakdi BCBA

NPI Number

1174085393

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/05/2019

Specialties

(Taxonomies)

Code

103K00000X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

RBT-18-50060

Contact
Information

Purpose

Mailing
Location

Address

4140 BROWN STONE VW
1930 FREQUENT FLYER PT

City

Colorado Springs
Colorado Springs

State

CO
CO

Postal Code

80923-4492
80915-1500

Country

US
US

Telephone Number

(941) 275-4422
(941) 275-4422

Identifiers

Identifier

102463800

Identifier State

FL

Identifier Issuer

Unknown

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

Data last updated by provider on 03/15/2021

Provider Address

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