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Matthew Potak

Behavior Analyst β€’ Safety Harbor, FL

Active NPI 1962736132 Individual Practitioner Male Practitioner
Practice location in NPPES

3100 Blue Heron St
Safety Harbor, FL 346955304

Call 7275046539 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3100 Blue Heron St

Safety Harbor, FL 346955304

Telephone 7275046539
Organization at the Same NPPES Address or Phone
Behavior Analysis Solutions Llc Facility NPI 1376291450

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Safety Harbor and Florida

5 active clinicians are listed under Behavior Analyst with a practice address in Safety Harbor, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-26
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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location March 26, 2026

Registered at 3100 BLUE HERON ST, SAFETY HARBOR, FL 346955304 (Tel: 7275046539)

πŸ“
Updated Business Mailing Address March 26, 2026

Registered at 3100 BLUE HERON ST, SAFETY HARBOR, FL 346955304

πŸ‘€
Provider Name / Credentials Updated March 26, 2026

Recorded as MATTHEW POTAK

πŸ“
Updated Practice Location March 19, 2024

Registered at 11350 66TH ST STE 111, LARGO, FL 337735524 (Tel: 7275046539)

πŸ“
Updated Business Mailing Address March 19, 2024

Registered at 2704 61ST AVE N, ST PETERSBURG, FL 337141460

βœ…
NPI Profile Active September 21, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 21, 2009

Registered at 692 GREENGLEN LN, PALM HARBOR, FL 346843024 (Tel: 7275046539)

πŸ“
Business Mailing Address (Initial Record) September 21, 2009

Registered at 692 GREENGLEN LN, PALM HARBOR, FL 346843024

πŸ‘€
Provider Name / Credentials (Initial Record) September 21, 2009

Recorded as MATT POTAK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2009

Behavior Analyst

🟒
Initial NPI Registration & Enumeration September 21, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962736132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2009
Last Update: March 26, 2026
Sole Proprietor: No

Mailing Address

3100 Blue Heron St

Safety Harbor, FL 346955304

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.