Active NPI 1003280777 Individual Practitioner Male Practitioner

Matthew James Blazek , BCBA

Behavior Analyst • Charles Town, WV

Professional Overview & Biography Verified Profile Summary

Matthew Blazek, BCBA is a registered healthcare professional specializing in Behavior Analyst in Charles Town, WV. Practice services are available at 42 BAR HARBOR TER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42 Bar Harbor Ter

Charles Town, WV 254141216

Telephone 4159903608

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Charles Town, WV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 16.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Charles Town, WV (189 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

CMS Verified: 2021-08-17

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.

Secondary Practice Locations

4575 Se Dixie Hwy

Stuart, FL 349976826

Phone: 8558326727

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 17, 2021

Registered at 42 BAR HARBOR TER, CHARLES TOWN, WV 254141216 (Tel: 4159903608)

📍

Updated Business Mailing Address August 17, 2021

Registered at 42 BAR HARBOR TER, CHARLES TOWN, WV 254141216 (Tel: 4159903608)

✅

NPI Profile Active August 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2016

Registered at 4575 SE DIXIE HWY, STUART, FL 349976826 (Tel: 8558326727)

📍

Updated Business Mailing Address August 25, 2016

Registered at 4575 SE DIXIE HWY, STUART, FL 349976826

👤

Provider Name / Credentials Updated August 25, 2016

Recorded as MATTHEW BLAZEK, BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2016

Behavior Analyst

🟢

Initial NPI Registration & Enumeration November 18, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003280777

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 18, 2015

Last Update: August 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

42 Bar Harbor Ter

Charles Town, WV 254141216

Phone: 4159903608

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.