Matthew Grennell, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

225 S Swoope Ave
Suite 211
Maitland, FL 32751-5704

Phone

(407) 928-0444

Fax

(407) 699-0444

NPI assigned

Oct 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1346575263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BENT OAK LOOP",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375791",
            "telephone_number": "321-356-4759",
            "fax_number": "407-699-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S SWOOPE AVE",
            "address_2": "SUITE 211",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515704",
            "telephone_number": "407-928-0444",
            "fax_number": "407-699-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENNELL",
        "first_name": "MATTHEW",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Shea Grant, APRN
• Frank Grasso Jr., MS
• Greater Vision Staffing Agency, LLC
• David E Green, PMD
• Gabriel Green, MPA, MHSC, IMT
• Sackelia Grey, RN
• Shahrzad J Grey, MD
• Elena Griffin, MD
• Michele Tamsen Griffith, LCSW
• William J Grisaitis, MD

• Behavior Analyst in Maitland, FL
• Providers in Maitland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.