Destini Mathews

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-821 Issued in LA

Practice address

628 Commercial Pkwy Ste 2
West Monroe, LA 71292-8062

Phone

(318) 245-4113

Fax

(318) 588-8909

NPI assigned

Feb 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavior Train

  • Behavior Analyst
  • West Monroe, LA
  • NPI 1528437050
  NPD (past)

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1558068585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1823",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712941823",
            "telephone_number": "318-588-8908",
            "fax_number": "318-588-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 COMMERCIAL PKWY STE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712928062",
            "telephone_number": "318-245-4113",
            "fax_number": "318-588-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "DESTINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-24-71631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Schween Martinez, SLP
• Robert Daryl Marx, M.D.
• Hayley Alicia Mason
• Melanie S Massey, PT
• Sheline De'Dreon Massey
• Emmett Mathis, LCSW
• Matthew H Thornhill LLC
• William H Matthews, MD
• John E Maxwell II, M.D.
• Angela Jill May, LPC

• Behavior Analyst in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.