Brooke Matzke, M.S., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000761 Issued in CT

Practice address

900 Ethan Allen Hwy
Ridgefield, CT 06877-2826

Phone

(475) 231-0774

NPI assigned

Mar 12, 2019

Sex

Female

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

Credentials

Master of Science

Practice roles

Locations

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.

• Keri Spielmann LLC

  • Behavior Analyst
  • Ridgefield, CT
  • NPI 1508254418
  NPD

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1720546435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SEVENTY ACRE RD",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068962703",
            "telephone_number": "860-539-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772826",
            "telephone_number": "475-231-0774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Depot Pl",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "CT",
            "postal_code": "068012540",
            "country_code": "US",
            "telephone_number": "203-559-7023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATZKE",
        "first_name": "BROOKE",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "000761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Mascardo, MD
• Renato Nadal Mascardo, MD, PC
• Christopher Charles Mascetta, DC
• Domenick John Masiello, DO
• Matri Mental Health, PLLC
• Michal Maziarz
• Kathleen Claire McAuliffe, FNP- BC
• Patrick McAuliffe, PHD
• Rachel McDermott
• Penelope McDonnell

• Behavior Analyst in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.