MS. BETHANY ANN MATT (NPI# 1295386605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295386605 |
| Entity Type | Individual |
| Full Name | MS. BETHANY ANN MATT |
| Credential | BCABA |
| Practice Address |
512 Thoroughbred Dr Lafayette LA 70507-6568 |
| Practice Telephone | 3377398005 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
512 THOROUGHBRED DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-6568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155675 | Brightspots Behavior and Learning | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2016-06-14 |
| 1992339618 | Alaina M Young | Assistant Behavior Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2020-03-03 |
| 1598316903 | Alicia Talley Roberts | Assistant Behavior Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2019-09-26 |
| 1437714151 | Aba Services of The South | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2019-05-08 |
| 1639649270 | Rhett Theobald | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507 | 2018-11-27 |
| 1588150999 | Colby Thomas Gothreaux | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1851935613 | Full Spectrum Aba of Louisiana | Assistant Behavior Analyst | 201 Rue Beauregard Ste 202, Lafayette, LA 70508-3251 | 2019-11-04 |
| 1518433812 | Kaitlin Nicole Weeks | Assistant Behavior Analyst | 694 Glorietta Blvd, Lafayette, CA 94549-3431 | 2018-10-15 |
| 1992339618 | Alaina M Young | Assistant Behavior Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2020-03-03 |
| 1598316903 | Alicia Talley Roberts | Assistant Behavior Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2019-09-26 |
| 1881178176 | Wellspring, LLC | Assistant Behavior Analyst | 142 Hidden Acres Ln, Lafayette, TN 37083-1911 | 2018-09-21 |
| 1346733490 | Joddie Lynn Dupuis | Assistant Behavior Analyst | 1003 Hugh Wallis Rd S Ste B2, Lafayette, LA 70508-2528 | 2018-06-13 |
| 1831689181 | Charis Trisha Johnson | Assistant Behavior Analyst | 3650 Mt Diablo Blvd Ste 107, Lafayette, CA 94549-3780 | 2018-05-12 |
| 1437679982 | Alana Catherine Broderick | Assistant Behavior Analyst | 1400 Dixon Ave, Lafayette, CO 80026-2790 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759543 | Heather L Naquin | Assistant Behavior Analyst | 968 Aragon Rd, Montegut, LA 70377-3322 | 2020-01-13 |
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1972091577 | Sabrina Flettrich | Assistant Behavior Analyst | 3504 Taft Park, Metairie, LA 70002-4558 | 2018-04-29 |
| 1700383478 | Louis Jackson | Assistant Behavior Analyst | 6104 Manor Dr, Alexandria, LA 71302-2529 | 2018-04-10 |
| 1104353606 | Elizabeth Lee Murray | Assistant Behavior Analyst | 7607 Fern Ave Ste 403, Shreveport, LA 71105-5699 | 2017-05-15 |
| 1801330014 | Victoria Cade | Assistant Behavior Analyst | 3033 Marietta St, Kenner, LA 70065-4430 | 2016-12-06 |
| 1508318965 | Stacy Robinson | Assistant Behavior Analyst | 620 Kings Towne Pl, Shreveport, LA 71108-6012 | 2016-11-01 |
| 1720538440 | Ivery Datcher | Assistant Behavior Analyst | 1137 Graystone Dr, Shreveport, LA 71107-5532 | 2016-10-05 |
| 1235688565 | Alice Dales | Assistant Behavior Analyst | 828 Highway 457, Lecompte, LA 71346-8782 | 2016-09-28 |
| Find all providers with the same taxonomy | ||||
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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.