Individual provider Active NPI

Matthew Cole, BCBA

  • Behavior Analyst
  • Huntersville, NC
National Provider Identifier
1538671177
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-40651 Issued in NC
Practice address
9930 Kincey Ave Ste 140
Huntersville, NC 28078-6541
Phone
(855) 324-0885
Fax
(317) 520-8200
NPI assigned
Nov 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-40651 NC Primary

Addresses

Primary practice location

9930 Kincey Ave Ste 140
Huntersville, NC 28078-6541

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

1681 Hickory Loop
Las Cruces, NM 88005-6502
Phone (575) 647-3773

Other practice location 2

1271 Anthony Drive
Anthony, NM 88021
Phone (575) 882-3401

Other practice location 3

120 Wyatt Dr
Las Cruces, NM 88005-2925
Phone (575) 652-3155

Other practice location 4

3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227
Phone (704) 780-4271

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aprendamos Intervention Team PA Past Accepting new patients
Hopebridge LLC Behavior Analyst Past 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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1538671177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 140",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1681 Hickory Loop",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880056502",
            "country_code": "US",
            "telephone_number": "575-647-3773",
            "fax_number": "575-647-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1271 Anthony Drive",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "NM",
            "postal_code": "88021",
            "country_code": "US",
            "telephone_number": "575-882-3401",
            "fax_number": "575-882-3256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Wyatt Dr",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880052925",
            "country_code": "US",
            "telephone_number": "575-652-3155",
            "fax_number": "575-652-4104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Latrobe Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282115227",
            "country_code": "US",
            "telephone_number": "704-780-4271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "MATTHEW",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-20-40651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.