| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW LORD | 1598487357 | 2022-09-16 |
Matthew Lord is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598487357. Registration indicates Matthew Lord 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 | Matthew Lord |
| Practice Office Address | 3031 C ST SACRAMENTO, CA US |
| Practice Office Telephone | 9164422396 |
| Mailing Address | 3031 C ST SACRAMENTO, CA 958163326 US |
| Business Telephone | 9164422396 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |