DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRIAN MATSUDO

MEDICARE: BRIAN MATSUDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1508714262
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN MATSUDO
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 855-223-7123
Provider Business Practice Location Address
First Line : 98-211 PALI MOMI ST STE 520
Second Line :
City : AIEA
State : HI
Zip : 96701-4328
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

Similar Medicare Providers

1962359042 — JOHNNESE POOMAIHEALANI
Practice Location Address:
98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328
Practice Phone: 855-223-7123
Practice Fax:
1558219584 — KAHEAONALANI DOWNING
Practice Location Address:
98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328
Practice Phone: 808-207-4377
Practice Fax:
1295436194 — JOAN MARIE LACTAOEN
Practice Location Address:
98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328
Practice Phone: 855-223-7123
Practice Fax:
1801742044 — BRAEDYN BARON
Practice Location Address:
98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328
Practice Phone: 808-207-4377
Practice Fax:
1346196581 — MACKENZIE BURTON
Practice Location Address:
98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328
Practice Phone: 855-223-7123
Practice Fax:
1114872348 — BRANDY CONTRADES
Practice Location Address:
98-211 PALI MOMI ST STE 510
AIEA, HI
96701-4328
Practice Phone: 855-223-7123
Practice Fax:

Directions to “ BRIAN MATSUDO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.