Jessica Matchett, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-20086

Practice address

1250 S Aw Grimes Blvd
Round Rock, TX 78664-7429

Phone

(512) 661-4387

Fax

(512) 717-5553

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1063883262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S AW GRIMES BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647429",
            "telephone_number": "512-661-4387",
            "fax_number": "512-717-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S AW GRIMES BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647429",
            "telephone_number": "512-661-4387",
            "fax_number": "512-717-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATCHETT",
        "first_name": "JESSICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-20086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1487",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@empowertherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1250 S Aw Grimes Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786647429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa R Masica, CRNA
• Mason Round Rock Op LLC
• Brian Curtis Massey, M.D.
• Heather Nicole Mast, CNS
• Dalia Mata
• Alfredo Geoffrey Mateo, D.M.D.
• Koshy Mathews Mathai, M.D.
• Asha Mathew, M.D.
• Hannah Rebekah Mathew
• Donna Mathews

• Behavior Analyst in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.