Individual provider Active NPI

Valeria Rocio Matamoros Mendoza, M.ED., BCBA

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1154083814
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB524805 Issued in TX
Practice address
2100 Kramer LN Ste 150
Austin, TX 78758-4096
Phone
(512) 572-0157
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB524805 TX Primary

Addresses

Primary practice location

2100 Kramer LN Ste 150
Austin, TX 78758-4096

Mailing address

2100 Kramer LN Ste 150
Austin, TX 78758-4096
Phone (512) 575-0157

Other names 1

  • Valeria Rocico Matamoros Other name

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 Education

State licenses

LicenseStateTypeSpecialty
BACB524805TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1154083814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KRAMER LN STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584096",
            "telephone_number": "512-575-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KRAMER LN STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584096",
            "telephone_number": "512-572-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAMOROS MENDOZA",
        "first_name": "VALERIA",
        "middle_name": "ROCIO",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BACB524805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIA",
            "last_name": "MATAMOROS",
            "middle_name": "ROCICO",
            "credential": "M.ED., BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.