Active NPI
Matthew Elizalde
- Behavior Technician
- Austin, TX
National Provider Identifier
1942893680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 100 Congress Ave
Austin, TX 78701-4072 - Phone
- (877) 418-2978
- NPI assigned
- Feb 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TX | Primary |
Addresses
Primary practice location
100 Congress Ave
Austin, TX 78701-4072
Mailing address
13319 Candida St
San Antonio, TX 78232-4805
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": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1942893680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13319 CANDIDA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CONGRESS AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787014072",
"telephone_number": "877-418-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZALDE",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-13",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Elizabeth Alfson, MD, PLLC
- Elizabeth Anne Rains, Ma, LPC
- Elizabeth Hanawalt LLC
- Elizabeth T Euresti (Nanabird's Heartfelt Care Home)
- Elizabeth Yeung-Farahi, LLC (King and Rose Optical)
- Victoria Ellen Elizarde, LCSW-S
- Eduardo Elizondo, M.D.
- Gabriella Elizondo, RD
- Joseph C Elizondo, MD
- Lauren Nicole Elizondo, PT, NCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.