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NPI Code Detail

MEDICARE: DR. PATRICK ALLEN LEYTHAM PHD, BCBA, LBA

MEDICARE: DR. PATRICK ALLEN LEYTHAM PHD, BCBA, LBA
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 AnalystLBA0253NV
2103K00000XBehavior Analyst1-19-36091CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497268791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK ALLEN LEYTHAM PHD, BCBA, LBA
Provider Business Mailing Address
First Line : 1480 E CALVADA BLVD STE 900
Second Line :
City : PAHRUMP
State : NV
Zip : 89048-3962
Country : US
Telephone Number : 775-419-7595
Fax Number : 833-939-0185
Provider Business Practice Location Address
First Line : 1480 E CALVADA BLVD STE 900
Second Line :
City : PAHRUMP
State : NV
Zip : 89048-3962
Country : US
Telephone Number : 775-419-7494
Fax Number : 833-939-0185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2017
Last Update Date : 12/05/2025

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