PETRA MATTHIES (NPI# 1093369266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093369266 |
| Entity Type | Individual |
| Full Name | PETRA MATTHIES |
| Practice Address |
183 Bedford St Lexington MA 02420-4428 |
| Practice Telephone | 5084797691 |
| Mailing Telephone | 5084797691 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
183 BEDFORD ST |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700917895 | Robert J Deregis | Dentist | 183 Bedford St, Suite 1, Lexington, MA 02420-4428 | 2007-03-08 |
| 1861035297 | Sophia Oldsman | Behavior Technician | 183 Bedford St, Lexington, MA 02420-4428 | 2019-10-17 |
| 1073072666 | Kevin Paul Bates | Behavior Technician | 183 Bedford St, Lexington, MA 02420-4428 | 2019-03-14 |
| 1659856037 | Christina Marie Pretzie | Behavioral Analyst | 183 Bedford St, Lexington, MA 02420-4428 | 2018-10-01 |
| 1033624432 | Shiei Kuida | Behavioral Analyst | 183 Bedford St, Lexington, MA 02420-4428 | 2017-12-06 |
| 1902311434 | Patricia Luki | Behavioral Analyst | 183 Bedford St, Lexington, MA 02420-4428 | 2017-12-06 |
| 1114432655 | Tanya Bajwa | Behavior Technician | 183 Bedford St, Lexington, MA 02420-4428 | 2017-12-06 |
| 1851678890 | Steps To Success | Behavioral Analyst | 183 Bedford St, Lexington, MA 02420-4428 | 2011-11-04 |
| 1598093791 | Teresa Kolff | Behavioral Analyst | 183 Bedford St, Lexington, MA 02420-4428 | 2009-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790013 | Jennifer Waterman | Behavior Technician | 333 W Butler St, Lexington, SC 29072-2605 | 2020-11-04 |
| 1508410572 | Arielle Isaacson | Behavior Technician | 48 Solomon Pierce Rd, Lexington, MA 02420-2534 | 2019-07-29 |
| 1710453345 | Shalonda N Carter | Behavior Technician | 119 Westpointe Ct Apt B, Lexington, SC 29073-6944 | 2018-10-22 |
| 1497356679 | Rebecca Gunter | Behavior Technician | 333 W Butler St, Lexington, SC 29072-2605 | 2020-11-04 |
| 1740889534 | Alegria Meryl Bentley | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-22 |
| 1275132219 | Kendal Morris | Behavior Technician | 1035 Strader Dr Ste 150, Lexington, KY 40505-4090 | 2020-10-21 |
| 1295334183 | Courtney Rose Colliers | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1558960443 | Kendra Lee Reyes | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1548869431 | Tristan Michael Roberson | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2020-10-21 |
| 1962000562 | Hannah Winkle | Behavior Technician | 1035 Strader Dr Ste 150, Lexington, KY 40505-4090 | 2020-10-15 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.