Individual provider Active NPI

Matthew Bryce Frantom

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1508354929
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-60328
Practice address
5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137
Phone
(702) 877-2520
NPI assigned
May 1, 2018
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-15020
Assistant Behavior Analyst 106E00000X 0-18-9293
Behavior Analyst 103K00000X 1-22-60328 Primary

Addresses

Primary practice location

5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137

Mailing address

5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137
Phone (702) 877-2520

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
The Lovaas Center for Behavior Intervention, Inc. Past Accepting new patients
The Lovaas Center for Behavior Intervention Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1508354929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 W FLAMINGO RD STE C5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030137",
            "telephone_number": "702-877-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 W FLAMINGO RD STE C5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030137",
            "telephone_number": "702-877-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANTOM",
        "first_name": "MATTHEW",
        "middle_name": "BRYCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-16-15020",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-18-9293",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-60328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.