Mathew T Verdon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59285 Issued in FL

Practice address

12780 Waterford Lakes Pkwy Ste 127
Orlando, FL 32828-4501

Phone

(407) 276-2853

Fax

(407) 598-5592

NPI assigned

May 14, 2020

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1851913685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY STE 127",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "407-276-2853",
            "fax_number": "407-598-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY STE 127",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "407-276-2853",
            "fax_number": "407-598-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDON",
        "first_name": "MATHEW",
        "middle_name": "T",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-59285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmay Verdecia Sanchez
• Adriana Verdecia
• Dianet D Verdecia I
• Katrina Verdier-Lang
• Alexis Mariah Verdon
• Marcia L Verduin, MD
• Herman Samir Vergara, C.A.C.
• Ruth Maria Vergara, DDS
• Ileana Verges
• Thomas Richard Verhage Jr., D.O.

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.