Shaneka Nichole Mathews, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

315 5TH Ave SE
Moultrie, GA 31768-4728

Phone

(941) 720-3273

NPI assigned

Jan 28, 2016

Last updated

Aug 10, 2020By the provider in NPPES

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

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.

• Turning the Key Autism and ABA Therapy Center, LLC

  • Behavior Analyst
  • Moultrie, GA
  • NPI 1457961633
  NPD Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1316305840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2375",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762375",
            "telephone_number": "941-720-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684728",
            "telephone_number": "941-720-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Arbor Trace Dr Unit B",
            "address_purpose": "LOCATION",
            "city": "Lynn Haven",
            "state": "FL",
            "postal_code": "324446723",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "SHANEKA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly N Marshall, LCSW
• Geoffrey Martin
• Sandra Dee Martin, FNP-BC
• Heather McLeod Massey, MPT
• Michele M Masterson
• Mary Louise Mathias, O.D.
• Tyrhonda L Mathis, NP-C
• Ethan McBrayer, DO
• Tabitha McCoy, LMFT
• Rochelle G McCranie, PA

• Behavior Analyst in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.