Active NPIIndividual provider

Mr. Matthew D Cannon, MAED, MAT, BCBA

Behavior Analyst in Maywood, New Jersey

NPI Number1619713393
Practice location
709 Briarcliff Ave, Maywood, NJ 07607-1400
Fax
—
Last updated
January 15, 2025

Matthew David Cannon is a Behavior Analyst based in Maywood, NJ. Matthew David Cannon practices in Maywood, NJ and has the professional credentials of MAED, MAT, BCBA. The NPI Number for Matthew David Cannon is 1619713393. The current practice location address for Matthew David Cannon is 709 Briarcliff Ave, Maywood, NJ 07607-1400 and can be reached out via phone at 201-694-3669.

Provider Profile Details

NPI Number
1619713393
Provider Name
Matthew David Cannon
Credential
MAED, MAT, BCBA
Provider Entity Type
Individual
Gender
Male
Address
709 Briarcliff Ave, Maywood, NJ 07607-1400
Phone Number
201-694-3669
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Mr. Matthew David Moore (Former Name)
Provider Enumeration Date
July 2, 2024
Last Update Date
January 15, 2025
Certification Date
January 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
709 Briarcliff Ave
Maywood, NJ 07607-1400
Zip
07607-1400
Phone Number
201-694-3669
Maywood, NJ 07607Get directions →

Provider Business Mailing Address Details

Address
709 Briarcliff Ave
Maywood, NJ 07607-1400
City
Maywood
State
NJ
Zip
07607-1400
Phone Number
201-694-3669

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew D Cannon, MAED, MAT, BCBA?

The NPI number of Mr. Matthew D Cannon, MAED, MAT, BCBA is 1619713393. It was assigned on July 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew D Cannon, MAED, MAT, BCBA?

Mr. Matthew D Cannon, MAED, MAT, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Mr. Matthew D Cannon, MAED, MAT, BCBA practice?

The practice location is 709 Briarcliff Ave, Maywood, NJ 07607-1400. The office can be reached at 201-694-3669 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619713393 directly on the NPPES registry website.

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