Most Relevant Information
Provider Data
| NPI Number: | 1003516238 |
| Provider Name: | MATTHEW SCOTT KRAYNAK RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-260908 |
Most Important Dates
| Enumeration Date: | 03/07/2023 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
1050 SOUTHERN DR APT 107
COLUMBIA
SC
292015628
Practice Location Phone/Fax
| Phone: | 8643731274 |
| Fax: |
Provider Mailing Location
7108 S KANNER HWY
STUART
FL
349977462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |