Ken John Matsko Jr., MS BSL
Individual provider Active NPI Behavior Analyst · Taylor, PA
NPI 1962818534 · NPPES record last updated Nov 6, 2014
Key facts
- NPI
- 1962818534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BH001844 (PA)
- Practice address
- 1104 S Main St
Taylor, PA 18517-2106 - Phone
- (570) 589-1292
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science - Law, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH001844 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Specific Consulting PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH001844 | PA | Yes |
Addresses
Primary practice location
1104 S Main St
Taylor, PA 18517-2106
Mailing address
1104 S Main St
Taylor, PA 18517-2106
Phone (570) 589-1292
Other providers in Taylor, PA
- William Joseph Krah III
- Kimberly Ann Krisiak
- Lighthouse Counseling Associates
- Loving Care Agency, Inc
- Katlyn Marie Lytle Rushing
- Brooke Ana Mickavicz
- Nallin Chiropractic PC
- Nepa Care, LLC.
- Stephen Earl Page
- Lynn Francine Pahoski
All providers in Taylor, PA · Behavior Analyst in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 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.