Lucia MK Matteucci

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

600 E Oglethorpe Hwy Ste B
Hinesville, GA 31313-2988

Phone

(407) 907-2077

Fax

(973) 888-1377

NPI assigned

Dec 20, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1144038225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MAJESTY DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338370504",
            "telephone_number": "863-256-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E OGLETHORPE HWY STE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132988",
            "telephone_number": "407-907-2077",
            "fax_number": "973-888-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEUCCI",
        "first_name": "LUCIA",
        "middle_name": "MK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashley Michelle Martinez
• Mary Lou Fraser Foundation for Families, Inc.
• Nicole Latrelle Mason
• Shawna Mathews, CCC-SLP
• Zyrionna Amiah Mathis
• Jeannene Lang Matthews, CCC-SLP
• Sydney May
• Alyn R Maynez, RDN
• Jennifer McCall
• Timiekka McCants

• Behavior Technician in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.