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Deactivated NPI 1588128797 Deactivated / Inactive NPI Male Practitioner

Matthew Sprague

Behavior Analyst • San Bruno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Sprague has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2019
NPI Deactivation Date January 22, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Matthew Sprague was a registered Behavior Analyst practicing in San Bruno, CA. Throughout an active medical career spanning 1 years, Matthew Sprague provided care at the practice location at 1001 SNEATH LN STE 200 until profile deactivation on 2019-01-22.

Practice Location & Contact Primary Location

Practice Address

1001 Sneath Ln Ste 200

San Bruno, CA 940662349

Telephone 9163824447

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Bruno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
89 Specialists

Practicing in San Bruno, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Hiscott

Behavior Technician

NPI 1013588813
Cassidy Dick

Behavior Technician

NPI 1023708898
Raeonna Ponce Gonzales

Behavior Technician

NPI 1033677364
NPI 1043713035

Bachelor of Arts, Master of Science, Board Certified Behavior Analyst

Alina Kirichuk

Behavior Analyst

NPI 1043770787
Adriel Rodriguez Soto

Behavior Technician

NPI 1043871510

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 17, 2019

Record deactivated on April 17, 2019

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NPI Profile Reactivated January 30, 2019

Record officially reactivated for active practice on January 30, 2019

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Updated Practice Location January 30, 2019

Registered at 1001 SNEATH LN STE 200, SAN BRUNO, CA 940662349 (Tel: 9163824447)

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Updated Business Mailing Address January 30, 2019

Registered at 1001 SNEATH LN STE 200, SAN BRUNO, CA 940662349

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Provider Name / Credentials Updated January 30, 2019

Recorded as MATTHEW SPRAGUE

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Behavior Analyst

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NPI Profile Deactivated January 22, 2019

Record deactivated on January 22, 2019

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Initial NPI Registration & Enumeration January 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588128797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2019
Last Update: January 30, 2019
Deactivation Date: January 22, 2019

Mailing Address

1001 Sneath Ln Ste 200

San Bruno, CA 940662349

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.