MISS KELLI R MATTHEWS (NPI# 1790390896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790390896 |
| Entity Type | Individual |
| Full Name | MISS KELLI R MATTHEWS |
| Practice Address |
3814 12th St Ne Washington DC 20017-2630 |
| Mailing Address |
5577 Vincent Gate Ter Unit 1220 Alexandria VA 22312-2578 |
| Practice Telephone | 2026569059 |
| Mailing Telephone | 8324777586 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288088 | Kelli Yvonne Matthews | Licensed Practical Nurse | 7593 Tylers Place Blvd, West Chester, OH 45069-6308 | 2018-09-13 |
| Street Address |
3814 12TH ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265935746 | Gerra O. Hull | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2018-03-12 |
| 1164022661 | Gerron Cooper | Behavioral Analyst | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-10-26 |
| 1467051177 | Hawanatu Laila Kamara | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-10-23 |
| 1508465410 | Naujae Cooper | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-10-21 |
| 1184223273 | Yetunde T Oladunjoye | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-10-20 |
| 1396351177 | Christian Ann Watkins | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-09-17 |
| 1891300919 | Sterling Terrell Dozier | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-09-15 |
| 1790315356 | Kiara Z Kirkland | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-01-23 |
| 1568002343 | Lnikkae Edwards | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-01-09 |
| 1285274258 | Raul Raheem Buddle | Behavior Technician | 3814 12th St Ne, Washington, DC 20017-2630 | 2020-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| 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 |
|---|---|---|---|---|
| 1144827692 | Nicole Dedenbach | Behavior Technician | 62452 Schoenherr Rd, Washington, MI 48094-1727 | 2020-10-07 |
| 1811504756 | Christina Marie Sands | Behavior Technician | 1112 42nd St Ne, Washington, DC 20019-1909 | 2020-09-24 |
| 1992311724 | Anna Maureen Sheridan | Behavior Technician | 3217 Northampton St Nw, Washington, DC 20015-1650 | 2020-09-17 |
| 1699389437 | Aliyyah Joyner | Behavior Technician | 3411 24th St Ne, Washington, DC 20018-2951 | 2020-08-31 |
| 1376151621 | Kiara Danielle Redfearn | Behavior Technician | 27 Halley Pl Se, Washington, DC 20032-2330 | 2020-07-22 |
| 1073121034 | Lorena Trujillo | Behavior Technician | 450 K St Nw Apt 1312, Washington, DC 20001-2975 | 2020-07-16 |
| 1376168666 | Alexis Paige Zosel | Behavior Technician | 629 Quincy St Nw, Washington, DC 20011-5933 | 2020-06-11 |
| 1235765033 | Kennedy Monee Bursey Elmore | Behavior Technician | 1429 Primrose Rd Nw, Washington, DC 20012-1223 | 2020-03-12 |
| 1639704398 | Hazel Ware | Behavior Technician | 1200 G Street Nw, Suite 800, Washington, DC 20005 | 2020-03-03 |
| 1528692126 | Candace Wyman | Behavior Technician | 1200 G Street Nw, St, 800, Washington, DC 20005 | 2020-02-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20017 |
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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.