Individual provider Active NPI

Zachary Van Matre, CBT

  • Behavior Technician
  • Wenatchee, WA
National Provider Identifier
1093569857
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CB61471244 Issued in WA
Practice address
500 N Wenatchee Ave Ste a
Wenatchee, WA 98801-6655
Phone
(360) 984-3131
NPI assigned
Apr 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CB61471244 WA Primary

Addresses

Primary practice location

500 N Wenatchee Ave Ste a
Wenatchee, WA 98801-6655

Mailing address

8019 NE 13TH Ave
Vancouver, WA 98665-9604
Phone (360) 984-3131

Other practice location 1

8019 NE 13th Ave
Vancouver, WA 98665-9604
Phone (360) 984-3131

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

State licenses

LicenseStateTypeSpecialty
CB61471244WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Behavior Solutions LLC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1093569857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659604",
            "telephone_number": "360-984-3131",
            "fax_number": "360-718-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WENATCHEE AVE STE A",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016655",
            "telephone_number": "360-984-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8019 NE 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986659604",
            "country_code": "US",
            "telephone_number": "360-984-3131",
            "fax_number": "360-718-8542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN MATRE",
        "first_name": "ZACHARY",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61471244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.