Active NPI
Mathew Wentworth, M.S., BCBA
- Behavior Analyst
- Altamonte Springs, FL
National Provider Identifier
1104265966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 825 Amber Way Apt 203
Altamonte Springs, FL 32714-1729 - Phone
- (407) 619-0612
- NPI assigned
- Jun 14, 2013
- Last updated
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
825 Amber Way Apt 203
Altamonte Springs, FL 32714-1729
Mailing address
825 Amber Way Apt 203
Altamonte Springs, FL 32714-1729
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1104265966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 AMBER WAY APT 203",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327141729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 AMBER WAY APT 203",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327141729",
"telephone_number": "407-619-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTWORTH",
"first_name": "MATHEW",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
- Wellness Institute of Orlando
- Wells Legacy Health & Wellness LLC
- Latoya Wells, ARNP, FNP-BC
- Wellspring Health - Altamonte Springs, LLC (Central Florida Injury and Recovery Center)
- Tara Michelle Wenig, MA, LMHC, NCC
- West Altamonte Facility Operations, LLC (Living Center at West Altamonte)
- West Altamonte Nursing and Rehabilitation Center by Harborview LLC
- West Altamonte Opco, LLC (West Altamonte Nursing & Rehabilitation Center)
- West Volusia Surgical, PA
- Domonic Lane Westergaard, APRN, MSN, PPCNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.