MEDICARE: MICHAEL CONTEH 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
1	103K00000X	Behavior Analyst	0-04-1385	FL
2	103K00000X	Behavior Analyst	1-09-6455	TX

General Provider Information

NPI Number	:	1134364409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CONTEH BCBA

Provider Business Mailing Address
First Line	:	7010 NW 100 DRIVE
Second Line	:	#A104
City	:	HOUSTON
State	:	TX
Zip	:	77092
Country	:	US
Telephone Number	:	713-462-6060
Fax Number	:	713-462-6066

Provider Business Practice Location Address
First Line	:	7010 NW 100 DR STE A104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2052
Country	:	US
Telephone Number	:	713-462-6060
Fax Number	:

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

Provider Enumeration Date	:	12/15/2008
Last Update Date	:	01/20/2012

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Directions to “ MICHAEL CONTEH BCBA” Practice Location

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