Most Relevant Information
Provider Data
| NPI Number: | 1003402389 |
| Provider Name: | EVAN F MATHENY QMHS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/21/2020 |
| Last Updated: | 12/21/2020 |
Provider Practice Location
10595 SR 550
VINCENT
OH
457845650
Practice Location Phone/Fax
| Phone: | 7404455113 |
| Fax: | 7404455124 |
Provider Mailing Location
PO BOX 188
CHILLICOTHE
OH
456010188
Provider Mailing Phone/Fax
| Phone: | 7407734366 |
| Fax: | 7407734750 |