Thebarge, Matthew
Thebarge, Matthew is an sole proprietor health care provider with primary practice located at 15 Saunders Way Ste 900 , Westbrook ME 04092-4836. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Thebarge, Matthew can be contacted via phone (207) 878-9663.Contact Information
Primary practice address
15 Saunders Way Ste 900
Westbrook ME 04092-4836
Phone: (207) 878-9663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1689180010 |
|---|---|
| LBN Legal business name | Thebarge, Matthew |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2017 |
| Last updated | Dec 21st, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689180010 | NPPES |
| Other | 1-17-27044 | BCBA BOARD |
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