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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW JAMES DRAKE

Deactivated Sole Proprietor

MATTHEW JAMES DRAKE is a Behavior Technician healthcare provider located in FLEMING ISLAND, Florida. NPI 1164159653 is deactivated in the NPPES registry. Verify at CMS.

Behavior Technician · FLEMING ISLAND, FL

This NPI has been deactivated. The record was deactivated on October 15, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1164159653
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2022 (2.1972602739726 yrs)
Last Updated
Nov 6, 2024
Deactivated
Oct 15, 2024
Sole Proprietor
Yes

Practice Information

Address
2377 MARKET DR
FLEMING ISLAND, FL, 320034326
Browse FL providers · Browse ZIP 32003
Phone
9045794779
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in FLEMING ISLAND, FL

Name Credential NPI
SAMUEL ROBERTSON 1467904581
MELLISA OCHOA 1437690856
TONYA FREELAND RBT 1659995488
MS. LANE WASDEN 1447860564
MS. AMY DEMETRICK RBT 1245805043
ZARIA PRESHA BRAZLE RBT 1023683539
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.