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)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