Deiondre Mathis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7500 San Felipe St
Houston, TX 77063-1707

Phone

(866) 610-0580

Fax

(866) 611-1558

NPI assigned

Jul 18, 2024

Sex

Male

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

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1386482958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "866-610-0580",
            "fax_number": "866-611-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631707",
            "telephone_number": "866-610-0580",
            "fax_number": "866-611-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "DEIONDRE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn P Mathieu, CTRS
• Stephanie Mathijsen, MD
• Aerial A Mathis
• Anthony Mathis
• Bronwen Mathis, O.D.
• Isaiah Mathis
• Kenneth B Mathis, M.D.
• Sharon Mathukutty, O.D.
• Chand Mathur, MD
• Neha Mathur, M.D.

• Behavior Technician in Houston, TX
• Providers in Houston, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.