Courtney Mathis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-64772 Issued in TX

Practice address

625 Creekside Way Apt 1102
New Braunfels, TX 78130-3975

Phone

(936) 828-0204

NPI assigned

Sep 7, 2018

Sex

Female

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

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1164905907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CREEKSIDE WAY APT 1102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303975",
            "telephone_number": "936-828-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CREEKSIDE WAY APT 1102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303975",
            "telephone_number": "936-828-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-18-64772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmeline Hester Massey, MSW, LSW
• Joel Garrett Massey, MD
• Heather Mastrianno, PSYD
• Elizabeth Mathew, OD
• Kristyn Mathewson, D.O., M.P.H., M.S.
• Cheyenne Mattes, MD
• Lela Danielle Matthes, D.D.S.
• Kaitlyn Matthews
• Micki Matthews, LPC
• Allison Lindsy Mattice, OTA

• Behavior Technician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.