Active NPIIndividual provider

Brooke Matzke, MS, BCBA, LBA

Behavior Analyst in Ridgefield, Connecticut

NPI Number1720546435
Practice location
900 Ethan Allen Hwy, Ridgefield, CT 06877-2826
Fax
—
Last updated
December 30, 2019

Brooke Matzke is a Behavior Analyst based in Ridgefield, CT. Brooke Matzke practices in Ridgefield, CT and has the professional credentials of MS, BCBA, LBA. The NPI Number for Brooke Matzke is 1720546435 and holds a License No. 000761 (CT). The current practice location address for Brooke Matzke is 900 Ethan Allen Hwy, Ridgefield, CT 06877-2826 and can be reached out via phone at 475-231-0774.

Provider Profile Details

NPI Number
1720546435
Provider Name
Brooke Matzke
Credential
MS, BCBA, LBA
Provider Entity Type
Individual
Gender
Female
Address
900 Ethan Allen Hwy, Ridgefield, CT 06877-2826
Phone Number
475-231-0774
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
March 12, 2019
Last Update Date
December 30, 2019
Certification Date
December 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Ethan Allen Hwy
Ridgefield, CT 06877-2826
Zip
06877-2826
Phone Number
475-231-0774
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
33 Seventy Acre RD
Redding, CT 06896-2703
City
Redding
State
CT
Zip
06896-2703
Phone Number
860-539-8335

License Information

License Number
000761
License State
CT
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 Brooke Matzke, MS, BCBA, LBA?

The NPI number of Brooke Matzke, MS, BCBA, LBA is 1720546435. It was assigned on March 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Brooke Matzke, MS, BCBA, LBA?

Brooke Matzke, MS, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 000761.

Where does Brooke Matzke, MS, BCBA, LBA practice?

The practice location is 900 Ethan Allen Hwy, Ridgefield, CT 06877-2826. The office can be reached at 475-231-0774 (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 1720546435 directly on the NPPES registry website.

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