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General NPI Number Information
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NPI Number | 1780988386
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Entity Type | Individual
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Provider Name | MATTHEW ANSORGE TETERS LEHMAN LBA,BCBA,BCEA-F,BCPA
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Gender | Male
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 304 S JONES BLVD STE 3465
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City | LAS VEGAS
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State | NV
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Zip | 89107
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Country | US
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Telephone | 702-430-7660
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Fax | 702-430-7660
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Provider Business Mailing Address
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Address Line | 304 S JONES BLVD STE 3465
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City | LAS VEGAS
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State | NV
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Zip | 89107-2623
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Country | US
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Telephone | 702-430-7660
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Fax | 702-430-7660
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 000027
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA60807646
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 146.0124394
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-10-7411
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0145
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License Number State | NV
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