Individual provider Active NPI

Eliza Matthews

  • Behavior Analyst
  • Alpharetta, GA
National Provider Identifier
1316690589
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5893 Issued in TX
Practice address
4300 Alexander Dr Ste 200
Alpharetta, GA 30022-3780
Phone
(855) 724-9356
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 21-179492 TX
Behavior Analyst 103K00000X 5893 TX Primary

Addresses

Primary practice location

4300 Alexander Dr Ste 200
Alpharetta, GA 30022-3780

Mailing address

4300 Alexander Dr Ste 200
Alpharetta, GA 30022-3780
Phone (855) 724-9356

Other practice location 1

1526 Leedscastle Mnr
Spring, TX 77379-7212
Phone (832) 335-8827

Other practice location 2

1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone (510) 268-8120

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

State licenses

LicenseStateTypeSpecialty
21-179492TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks TX LLC Behavior Analyst CurrentSince Feb 1, 2022 Accepting new patients
Building Blocks TX Behavior Analyst CurrentSince May 28, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1316690589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALEXANDER DR STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223780",
            "telephone_number": "855-724-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALEXANDER DR STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223780",
            "telephone_number": "855-724-9356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Leedscastle Mnr",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773797212",
            "country_code": "US",
            "telephone_number": "832-335-8827",
            "fax_number": "346-330-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Concord Ave Ste 185",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205006",
            "country_code": "US",
            "telephone_number": "510-268-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ELIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "21-179492",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.