Matthew J Woodard, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10017

Practice address

320 6TH St
Raymond, WA 98577-2503

Phone

(360) 280-4414

Fax

(360) 547-6470

NPI assigned

Aug 19, 2010

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Basics Northwest

  • Community/Behavioral Health Agency
  • Lacey, WA
  • NPI 1396179545
  NPD Authorized official
• Basics NW LLC

  • Behavior Analyst
  • Raymond, WA
  • NPI 1073864849
  NPD Authorized official

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1205142825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 6TH ST",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985772503",
            "telephone_number": "360-280-4414",
            "fax_number": "360-547-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 6TH ST",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985772503",
            "telephone_number": "360-280-4414",
            "fax_number": "360-547-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-10017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwoodard@basicsnw.com",
            "affiliation": "N",
            "address_1": "320 6th St",
            "city": "Raymond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985772503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alysha Renee Williams, MA 60632924
• Sheila Marie Williams, L.M.P.
• Jennifer Marcella Wirt, LMHC
• Perry Joe Wise, N.D.
• Crystal Wolfe
• Lauren Alyse Woodbeck
• Dawn Wright
• Leslie Wunsch
• Katie Wymore
• Amelia Louise Zahm, LAC, DAOM

• Behavior Analyst in Raymond, WA
• Providers in Raymond, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.