Matthew Wayne Weatherford, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1119293 Issued in TX

Practice address

2815 Exchange Blvd
100
Southlake, TX 76092-7514

Phone

(817) 479-9000

NPI assigned

Dec 29, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavior Solutions, LLC

  • Clinical Psychologist
  • Austin, TX
  • NPI 1033477831
  NPD

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1073882536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 PAR DR APT 3613",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086786",
            "telephone_number": "940-368-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 EXCHANGE BLVD",
            "address_2": "100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927514",
            "telephone_number": "817-479-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1119293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlon Craig Washburn, RMT
• Kierra Washington
• Watermere Surgery Center LLC
• Amy Watts, DDS, MS
• Clara Christine Weaks, LPC ASSOCIATE
• Ginger Weaver, APRN, FNP-C
• Samantha Weaver
• Tyler Wayne Weaver, AU.D., CCC-A
• James J Weber, M.D.
• Maiya Webster

• Behavior Analyst in Southlake, TX
• Providers in Southlake, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.