Individual provider Active NPI

Elisabeth Mathewson, MA, BCBA

  • Behavior Analyst
  • El Dorado Hills, CA
National Provider Identifier
1063884948
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11520131 Issued in CA
Practice address
4641 Post St Unit 5287
El Dorado Hills, CA 95762-3012
Phone
(530) 355-5137
NPI assigned
Oct 30, 2015
Last updated
Feb 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11520131 CA Primary
Behavior Technician 106S00000X 1-15-20131

Addresses

Primary practice location

4641 Post St Unit 5287
El Dorado Hills, CA 95762-3012

Mailing address

4641 Post St Unit 5287
El Dorado Hills, CA 95762-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11520131CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Growth ABA Behavior Analyst CurrentSince Feb 23, 2025 Accepting new patients
Advance Kids Behavior Analyst Past Accepting new patients
Advance Kids Behavior Analyst PastSince Sep 8, 2025 Accepting new patients

Locations

4641 Post St
Unit 5287
El Dorado Hills, CA 95762
Phone (530) 355-5137

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1063884948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 POST ST UNIT 5287",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 POST ST UNIT 5287",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623012",
            "telephone_number": "530-355-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWSON",
        "first_name": "ELISABETH",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11520131",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "1-15-20131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.