Active NPI
Kaylin Mathis
- Behavior Technician
- Dothan, AL
National Provider Identifier
1548020993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-331448
- Practice address
- 1936 Ross Clark Cir
Dothan, AL 36301-5750 - Phone
- (334) 709-4024
- NPI assigned
- Mar 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT-24-331448 | AL | Primary |
Addresses
Primary practice location
1936 Ross Clark Cir
Dothan, AL 36301-5750
Mailing address
1936 Ross Clark Cir
Dothan, AL 36301-5750
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 |
|---|---|---|---|
| RBT-24-331448 | AL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1548020993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363015750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363015750",
"telephone_number": "334-709-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "KAYLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "AL",
"license": "RBT-24-331448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.