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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAKASHI M MATLOCK

Active Sole Proprietor

TAKASHI M MATLOCK is a Behavior Technician healthcare provider located in HOT SPRINGS NATIONAL PARK, Arkansas. NPI 1326654872 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · HOT SPRINGS NATIONAL PARK, AR

Registration Details

NPI Number
1326654872
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2020 (5.8741582175503 yrs)
Last Updated
Sep 21, 2020
Sole Proprietor
Yes

Practice Information

Address
339 JOY DR
HOT SPRINGS NATIONAL PARK, AR, 719138913
Browse AR providers · Browse ZIP 71913
Phone
5015511079
Primary Specialty
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.