Active NPI
Matthew D'Andria
- Behavior Technician
- Clarksville, IN
National Provider Identifier
1003613142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 632 Eastern Blvd.
Clarksville, IN 47129-2454 - Phone
- (317) 249-2242
- Fax
- (844) 289-6798
- NPI assigned
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
632 Eastern Blvd.
Clarksville, IN 47129-2454
Mailing address
550 Congressional Blvd.
Suite 115
Carmel, IN 46032-5400
Phone (317) 249-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1003613142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 CONGRESSIONAL BLVD.",
"address_2": "SUITE 115",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325400",
"telephone_number": "317-249-2242",
"fax_number": "844-289-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 EASTERN BLVD.",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471292454",
"telephone_number": "317-249-2242",
"fax_number": "844-289-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANDRIA",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.