Individual provider Active NPI

Matthew-Xavier Ganthier

  • Behavior Technician
  • Brandon, FL
National Provider Identifier
1770152886
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1327 Salem Orchard LN
Brandon, FL 33511-7220
Phone
(321) 432-3393
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1327 Salem Orchard LN
Brandon, FL 33511-7220

Mailing address

1327 Salem Orchard LN
Brandon, FL 33511-7220
Phone (321) 432-3393

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-169354MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mganthier@teampbs.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1770152886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 SALEM ORCHARD LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117220",
            "telephone_number": "321-432-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 SALEM ORCHARD LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117220",
            "telephone_number": "321-432-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTHIER",
        "first_name": "MATTHEW-XAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-21-169354",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mganthier@teampbs.com",
            "affiliation": "N",
            "endpointDescription": "Business email addres",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1327 Salem Orchard Ln",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335117220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.