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MATTHEW SANDSTROM
NPI 1104398924
Behavior Analyst in Renton, WA

Active since December 18, 2018
2307 NE 4TH ST APT D203, RENTON, WA 98056(425) 589-0625 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Sandstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW SANDSTROM (NPI 1104398924) is an individual behavior analyst provider in Renton, Washington and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1104398924
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMATTHEW SANDSTROM
Location Address2307 NE 4TH ST APT D203Renton, WA 98056-4097
Mailing Address2307 Ne 4th St Apt D203Renton, WA 98056-4097
Phone(425) 589-0625
Sole ProprietorNo
Enumeration DateDecember 18, 2018
✔ NPI 1104398924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
Also ListedBehavior TechnicianTaxonomy 106S00000X
2307 NE 4TH ST APT D203, Renton, WA 98056
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Other Identifiers 1

Medicaid111524501WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Sandstrom's NPI number?

The NPI number for Matthew Sandstrom is 1104398924. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Matthew Sandstrom located?

Matthew Sandstrom practices at 2307 NE 4th St Apt D203, Renton, WA 98056. The listed phone number is (425) 589-0625.

What is Matthew Sandstrom's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Matthew Sandstrom was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.