Active NPI
Matthew Taylor, M.A., BCBA, LBA-V
- Behavior Analyst
- Buena Vista, VA
National Provider Identifier
1619481900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133001035
- Practice address
- 2424 Magnolia Ave
Buena Vista, VA 24416-3026 - Phone
- (540) 462-2914
- NPI assigned
- Nov 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133001035 | VA | Primary |
Addresses
Primary practice location
2424 Magnolia Ave
Buena Vista, VA 24416-3026
Mailing address
101 Village Dr Apt 101
Staunton, VA 24401-5092
Phone (919) 880-7220
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133001035 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1619481900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 VILLAGE DR APT 101",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244015092",
"telephone_number": "919-880-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 MAGNOLIA AVE",
"city": "BUENA VISTA",
"state": "VA",
"postal_code": "244163026",
"telephone_number": "540-462-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MATTHEW",
"credential": "M.A., BCBA, LBA-V",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Vista, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.