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Organization
MATL-BCBA
Active
Organization
MATL-BCBA
Active
Other names
ABA and Behavior Therapies and Testing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW A. T. LEHMAN BCBA (OWNER)
(760) 349-4200
Entity
Organization
Contact information
Practice address
361 LAMBERT GLN, ESCONDIDO, CA 92025-2565
(760) 349-4200
(760) 349-4200
Mailing address
11665 AVENA PL, STE 204, SAN DIEGO, CA 92128-2421
(760) 349-4200
(760) 349-4200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000027
NY
103K00000X
Behavior Analyst
Primary
1-10-7411
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000027
LICENSED BEHAVIOR ANALYST
NY
01
—
1-10-7411
BACB
—
Enumeration date
08/22/2013
Last updated
10/20/2015
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