Matthew Lau
Behavior Technician in San Bruno, CA. Individual provider (NPI-1).
NPI number1194619635
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1194619635
- Entity type
- Individual (NPI-1)
- Name
- Matthew Lau
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
751 Camino Plz # ASan Bruno, CA 94066-3401
Phone 650-627-8045
Mailing address
751 Camino Plz # ASan Bruno, CA 94066-3401
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,101 Behavior Technician providers in San Bruno · All 1,723 providers in San Bruno
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