Matthew Habedank, BCBA
Individual provider Active NPI Behavior Analyst · Saint Albans, VT
NPI 1831599372 · NPPES record last updated Sep 3, 2014
Key facts
- NPI
- 1831599372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-14-16264 (VT)
- Practice address
- 107 Fisher Pond Rd
Saint Albans, VT 05478-6286 - Phone
- (802) 524-6554
- Fax
- (802) 524-6562
- NPI assigned
- Sep 3, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-16264 | VT | Yes |
Addresses
Primary practice location
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Mailing address
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 524-6554
Other providers in Saint Albans, VT
- Cristine Griffing
- Brenna Griswold
- Katherine Grochowski
- David A Groening
- Katheryn S Guerino
- Christa Nicole Hackney
- Lauren Hale
- Sandy Haller
- Masha Harris
- Thomas Harrison I
All providers in Saint Albans, VT · Behavior Analyst in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.