Matthew Page, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2018045061 Issued in MO

Practice address

4000 Healy CT
Saint Louis, MO 63123-7743

Phone

(913) 909-7397

NPI assigned

Jul 17, 2017

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1215459722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HEALY CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237743",
            "telephone_number": "913-909-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HEALY CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237743",
            "telephone_number": "913-909-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "MO",
            "license": "2017024061",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2018045061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page Belt,LLC (Midwest Express Home Care)
• Ebony Page-Phillips, MD
• Jennifer Lynn Page, M.D.
• Karen Page, MS, OTR/L
• Kellsie Page, PHARMD
• Sam L Page, M.D.
• Terry Laroyce Page
• William J Page, MD
• Daniel Paget, MD
• Ellen Audrey Pagois, DPT

• Behavior Analyst in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.