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NPI Code Detail

MEDICARE: RONALD LEFEVRE BCBA

MEDICARE:   RONALD  LEFEVRE  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-14-16173CA

General Provider Information

NPI Number : 1174982110
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD LEFEVRE BCBA
Provider Business Mailing Address
First Line : 542 AMHERST ST STE B
Second Line :
City : NASHUA
State : NH
Zip : 03063-1016
Country : US
Telephone Number : 561-565-8777
Fax Number :
Provider Business Practice Location Address
First Line : 20718 PARK ROW DR
Second Line :
City : KATY
State : TX
Zip : 77449-5181
Country : US
Telephone Number : 561-565-8777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2016
Last Update Date : 09/16/2025

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