Matthew Freville, QMHS
Individual provider Active NPI Behavior Analyst · Nelsonville, OH
NPI 1356909253 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1356909253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 14455 Kimberley Rd
Nelsonville, OH 45764-9430 - Phone
- (740) 753-9656
- Fax
- (740) 753-9659
- NPI assigned
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
14455 Kimberley Rd
Nelsonville, OH 45764-9430
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other providers in Nelsonville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.