Individual
MATTHEW LOREN TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
21 SOUTH PARK BOULEVARD, SUITE 21, GREENWOOD, IN 46143-8838
(317) 449-2104
(765) 454-9759
Mailing address
3500 DEPAUW BOULEVARD, SUITE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-14798
BCBA CERTIFICATE
—
Enumeration date
08/15/2013
Last updated
03/23/2018
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