Individual provider Active NPI

Matthew Shakespeare, RBT

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1447015995
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1202 Tech Blvd Ste 103
Tampa, FL 33619-7863
Phone
(813) 438-6796
Fax
(813) 709-7530
NPI assigned
Feb 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 Primary

Addresses

Primary practice location

1202 Tech Blvd Ste 103
Tampa, FL 33619-7863

Mailing address

1202 Tech Blvd Ste 103
Tampa, FL 33619-7863
Phone (813) 438-6796

Other practice location 1

1936 Salk Ave
Tavares, FL 32778-4310
Phone (813) 423-6796

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

Practice roles

OrganizationSpecialtyStatusNew patients
KNR Therapy, LLC CurrentSince Feb 18, 2024 Accepting new patients
Above and Beyond Behavior Analysis LLC Current Accepting new patients

Locations

1202 Tech Blvd
Ste 103
Tampa, FL 33619
Phone (813) 547-5413

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.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1447015995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TECH BLVD STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197863",
            "telephone_number": "813-438-6796",
            "fax_number": "813-709-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 TECH BLVD STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197863",
            "telephone_number": "813-438-6796",
            "fax_number": "813-709-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1936 Salk Ave",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784310",
            "country_code": "US",
            "telephone_number": "813-423-6796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "MATTHEW",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.