Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE HAZELTON MATTHEWS, M.ED, BCBA
Active Sole ProprietorMRS. NICOLE HAZELTON MATTHEWS, M.ED, BCBA is a Developmental Therapist healthcare provider located in MIDVALE, Utah. NPI 1578854105 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MIDVALE, UT
Registration Details
- NPI Number
- 1578854105
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2011 (15.256419816126 yrs)
- Last Updated
- Oct 7, 2014
- License
-
1-11-8121
- Sole Proprietor
- Yes
Practice Information
- Address
-
7434 S. STATE ST.MIDVALE, UT, 84047Browse UT providers · Browse ZIP 84047
- Phone
- 8014569955
- Fax
- 8014569954
- Primary Specialty
-
Developmental Therapist
222Q00000X
- Additional Specialty
- Developmental Therapist
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.