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Matthew Wallen
NPI 1508334566 · on the registry since 2018 · sole proprietor
Practice
- Address
- 751 Camino Plz # A
San Bruno, CA 94066 - Phone
- (650) 627-8045
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California