MR. MATT ZANDECKI (NPI# 1750531976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750531976 |
| Entity Type | Individual |
| Full Name | MR. MATT ZANDECKI |
| Credential | M.S. |
| Practice Address |
848 Executive Dr Oviedo FL 32765-7699 |
| Practice Telephone | 4076788889 |
| Practice Fax Number | 4076788885 |
| Mailing Telephone | 4076788889 |
| Mailing Fax Number | 4076788885 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
848 EXECUTIVE DR |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-7699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891901658 | Interventions Unlimited, Inc. | Community/Behavioral Health | 848 Executive Dr, Oviedo, FL 32765-7699 | 2007-05-15 |
| 1962000943 | Behavior Care Specialists, Inc | Assistant Behavior Analyst | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-10-13 |
| 1902403843 | Stefanie A Horvath | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-10-05 |
| 1356948137 | Stephany Oliveros | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-10-05 |
| 1285231027 | Jasmine Henderson | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-10-05 |
| 1740895424 | Jackelyn Marie Maldonado | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-09-10 |
| 1336759661 | Veronica Yepes | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-08-02 |
| 1922617430 | Ashley Miller | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-07-30 |
| 1073122446 | Ashley Nicole Hoyle | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-07-30 |
| 1073131470 | Gina Gomez | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557630 | Nicole Felicia Felton | Psychologist | 9267 Canary Ivy Ln, Jacksonville, FL 32219-6001 | 2020-08-01 |
| 1962012310 | Wesley Green | Psychologist | 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 | 2020-07-31 |
| 1235748500 | Ruth J Keili | Psychologist | 3562 Old Village Dr, Orange Park, FL 32065-5521 | 2020-07-23 |
| 1609410059 | Barbara Ann Davis | Psychologist | 1324 Fairway Village Dr, Fleming Island, FL 32003-8398 | 2019-10-29 |
| 1417599531 | Bernice L Walker | Psychologist | 2449 Bracknell Forest Trl, Tavares, FL 32778-5706 | 2019-10-09 |
| 1013572304 | Alf 8860 Adrd Training Provider LLC. | Psychologist | 7990 Baymeadows Rd E Unit 1001, Jacksonville, FL 32256-2977 | 2019-05-02 |
| 1114497278 | Tayana Washington | Psychologist | 2008 Se 45th Terr, Gainesville, FL 32641-3264 | 2018-12-03 |
| 1598251795 | Tez-mia Kimberly Gray | Psychologist | 1100 Lime St Apt 28, Fernandina Beach, FL 32034-4417 | 2018-07-11 |
| 1205331881 | Tyric Lamont Drummond | Psychologist | 990 62nd Ter S, Saint Petersburg, FL 33705-5819 | 2018-03-27 |
| 1669973640 | Tanya Delanie Samuels | Psychologist | 502 Camino Real Ct Apt A, Brandon, FL 33510-3704 | 2018-02-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.