Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Bogardus

Individual provider Behavior Technician · NPI 1295600690

Matthew Bogardus is a Behavior Technician in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2025.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729
Phone: (865) 394-6612
Fax: (865) 315-7014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-477827 (TN)

Record details

NPI number1295600690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729

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