Matthew Engebrethson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1160 S Semoran Blvd
Orlando, FL 32807-1461

Phone

(800) 676-5130

Fax

(888) 959-5753

NPI assigned

Nov 9, 2018

Sex

Male

Sole proprietor

No

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1447728274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071461",
            "telephone_number": "800-676-5130",
            "fax_number": "888-959-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071461",
            "telephone_number": "800-676-5130",
            "fax_number": "888-959-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Blanding St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012906",
            "country_code": "US",
            "telephone_number": "803-929-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2930 Maguire Rd",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "34761",
            "country_code": "US",
            "telephone_number": "407-602-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEBRETHSON",
        "first_name": "MATTHEW",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuka Godwin Enebeli, M.D
• Philip Gregory Enegess, MSW
• Energy Follows Thought Enterprises
• Alexandria Eng, RDN, CSP, LDN, CNSC
• Matthew Eng, DO
• Morgan Marie Engel
• Stephanie Engelberg, P.T.
• George William Engelhard, L.M.T., A.P.
• Amy E. Engelhoven, MS, CCC-SLP
• Aubrey Engert, CNM

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.