Active NPI
Matl-Bcba
- Behavior Analyst
- Escondido, CA
National Provider Identifier
1063846475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7411
- Legal business name
- MATL-BCBA
- Doing business as
- ABA and Behavior Therapies and Testing
- Practice address
- 361 Lambert GLN
Escondido, CA 92025-2565 - Phone
- (760) 349-4200
- Fax
- (760) 349-4200
- NPI assigned
- Aug 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew A. T. Lehman, BCBA
- Title
- Owner
- Phone
- (760) 349-4200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-7411 | Primary | |
| Behavior Analyst | 103K00000X | 000027 | NY | |
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
361 Lambert GLN
Escondido, CA 92025-2565
Mailing address
11665 Avena PL
Ste 204
San Diego, CA 92128-2421
Phone (760) 349-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-10-7411 | Other | BACB | |
| 000027 | Other | NY | LICENSED BEHAVIOR ANALYST |
Other names 1
- ABA and Behavior Therapies and Testing
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1780988386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445299200000",
"number": "1063846475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11665 AVENA PL",
"address_2": "STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282421",
"telephone_number": "760-349-4200",
"fax_number": "760-349-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 LAMBERT GLN",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920252565",
"telephone_number": "760-349-4200",
"fax_number": "760-349-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATL-BCBA",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-22",
"last_updated": "2015-10-20",
"status": "A",
"authorized_official_last_name": "LEHMAN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "A. T.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-349-4200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": "1-10-7411",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000027",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-10-7411",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED BEHAVIOR ANALYST",
"identifier": "000027",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ABA and Behavior Therapies and Testing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.