Active NPI
Matthew Ryan Tapia, MA, BCBA, LMFT, LBA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1649794116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000768
- Practice address
- 3602 E Greenway Rd Ste 102
Phoenix, AZ 85032-4648 - Phone
- (602) 560-2832
- Fax
- (317) 520-8200
- NPI assigned
- Jul 27, 2017
- Last updated
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-15945 | AZ | |
| Marriage & Family Therapist | 106H00000X | 131725 | CA | |
| Behavior Analyst | 103K00000X | BEH-000768 | AZ | Primary |
Addresses
Primary practice location
3602 E Greenway Rd Ste 102
Phoenix, AZ 85032-4648
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
4502 E Paradise Village Pkwy S Apt 1032
Phoenix, AZ 85032-7748
Phone (408) 201-2088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-32020 | Other | BCBA CERTIFICATE |
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 |
|---|---|---|---|
| BEH-000768 | AZ | MD | Behavioral Analyst |
| 131725 | CA | MD | Social Worker |
| LMFT-15945 | AZ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Behavior Centers, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Austin, TX
- NPI 1841654050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1649794116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 E GREENWAY RD STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324648",
"telephone_number": "602-560-2832",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "4502 E Paradise Village Pkwy S Apt 1032",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850327748",
"country_code": "US",
"telephone_number": "408-201-2088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAPIA",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "MA, BCBA, LMFT, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-27",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT-15945",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "131725",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERTIFICATE",
"identifier": "1-18-32020",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.