Matthew Thomas Dolan
Individual provider Active NPI Behavior Analyst · Tehachapi, CA
NPI 1073154076 · NPPES record last updated Jan 19, 2020
Key facts
- NPI
- 1073154076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-19-38201 (CA)
- Practice address
- 26300 Chester CT
Tehachapi, CA 93561-7476 - Phone
- (714) 600-9529
- NPI assigned
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Education Analysis & Research LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-38201 | CA | Yes |
Addresses
Primary practice location
26300 Chester CT
Tehachapi, CA 93561-7476
Mailing address
26300 Chester CT
Tehachapi, CA 93561-7476
Phone (714) 600-9529
Other providers in Tehachapi, CA
- Elin Der-Hacopian
- Vinnette Ann Detloff
- Debby D Diamond
- Jennifer Diaz
- Jacqueline Garcia Dolan
- Donald Lee Pearson DDS Dental Corporation
- Miguel Angel Dorador
- Michelle Nicole Doucette
- Dr. Ana R Reyna a Professional Corporation
- Dr. John E. Fagan, Optometrist, Inc.
All providers in Tehachapi, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.