Matthew T Achladis

Individual provider Active NPI Behavior Technician · Youngstown, OH

NPI 1053124875 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1053124875
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1051 Tiffany Blvd S
Youngstown, OH 44514-1977
Phone
(330) 629-2955
Fax
(330) 629-2956
NPI assigned
Jan 27, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Behavior Health Care LLC Current
since Feb 2, 2025
Accepting new patients
Knapp Center for Childhood Development Current
since Feb 2, 2025
Accepting new patients

Locations

7423 Tiffany S
Youngstown, OH 44514
Phone (330) 629-2955

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1051 Tiffany Blvd S
Youngstown, OH 44514-1977

Mailing address

1051 Tiffany Blvd S
Youngstown, OH 44514-1977
Phone (330) 629-2955

Other providers in Youngstown, OH

All providers in Youngstown, OH · Behavior Technician in Ohio

Sources for this page

Verify at the official NPI Registry.