Active NPI
Matthew Stoelb, PH.D., BCBA
- Behavior Analyst
- Jackson, MO
National Provider Identifier
1124554175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2013026723
- Practice address
- 1061 Sierra CT
Jackson, MO 63755-6100 - Phone
- (573) 450-2903
- NPI assigned
- May 11, 2017
- 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 | 2013026723 | MO | Primary |
Addresses
Primary practice location
1061 Sierra CT
Jackson, MO 63755-6100
Mailing address
1061 Sierra CT
Jackson, MO 63755-6100
Phone (573) 450-2903
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013026723 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trendline Consulting LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Jackson, MO
- NPI 1508095480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1124554175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 SIERRA CT",
"city": "JACKSON",
"state": "MO",
"postal_code": "637556100",
"telephone_number": "573-450-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 SIERRA CT",
"city": "JACKSON",
"state": "MO",
"postal_code": "637556100",
"telephone_number": "573-450-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOELB",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PH.D., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2013026723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.