Individual
MATTHEW ALEXANDER LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1770 N BUFFALO DR STE 101, LAS VEGAS, NV 89128-2679
(702) 552-3758
Mailing address
9810 WILD COYOTE CT, LAS VEGAS, NV 89141-8746
(702) 552-3758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT6656
NV
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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