MEDICARE: MATTHEW CONTRERAS

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

General Provider Information

NPI Number	:	1164376083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW CONTRERAS

Provider Business Mailing Address
First Line	:	15323 VANCE JACKSON RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-5130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3550 LUTHERAN PKWY STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80033-6013
Country	:	US
Telephone Number	:	720-896-8551
Fax Number	:

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

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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Directions to “ MATTHEW CONTRERAS ” Practice Location

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