Active NPI
Marra Dematteo, BEHAVIORAL SPECIALIS
- Behavior Analyst
- Connellsville, PA
National Provider Identifier
1487500518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH007660
- Practice address
- 416 S Pittsburgh St
Connellsville, PA 15425-4003 - Phone
- (724) 626-8420
- Fax
- (724) 628-0898
- NPI assigned
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH007660 | PA | Primary |
Addresses
Primary practice location
416 S Pittsburgh St
Connellsville, PA 15425-4003
Mailing address
416 S Pittsburgh St
Connellsville, PA 15425-4003
Phone (724) 626-8420
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
| License | State | Type | Specialty |
|---|---|---|---|
| BH007660 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1487500518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 S PITTSBURGH ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154254003",
"telephone_number": "724-626-8420",
"fax_number": "724-628-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 S PITTSBURGH ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154254003",
"telephone_number": "724-626-8420",
"fax_number": "724-628-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMATTEO",
"first_name": "MARRA",
"credential": "BEHAVIORAL SPECIALIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH007660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Connellsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.