| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLY MATTHEWS | 1235916628 | 2023-09-11 |
Kimberly Matthews is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235916628. Registration indicates Kimberly Matthews is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Kimberly Matthews |
| Practice Office Address | 2430 VAN BUREN AVE SPRINGFIELD, OH US |
| Practice Office Telephone | 3039898169 |
| Mailing Address | 2430 VAN BUREN AVE SPRINGFIELD, OH 455052555 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |