Most Relevant Information
Provider Data
| NPI Number: | 1003421678 |
| Provider Name: | MATTHEW DOAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
4952 WARNER AVE STE 300
HUNTINGTON BEACH
CA
926495506
Practice Location Phone/Fax
| Phone: | 7143513709 |
| Fax: |
Provider Mailing Location
4952 WARNER AVE STE 300
HUNTINGTON BEACH
CA
926495506
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |