MEDICARE: KELLI AUDREY LEHMAN

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1457938615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI AUDREY LEHMAN

Provider Business Mailing Address
First Line	:	NORTH ARROW ABA, LLC
Second Line	:	10781 E CHERRY BEND RD, STUDIO 2
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684
Country	:	US
Telephone Number	:	231-268-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	NORTH ARROW ABA, LLC
Second Line	:	10781 E CHERRY BEND RD, STUDIO 2
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4968
Country	:	US
Telephone Number	:	231-268-0007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	03/25/2021

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Directions to “ KELLI AUDREY LEHMAN ” Practice Location

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