Active NPI
Aesha Matiee, M.S BCBA
- Behavior Analyst
- Walnut Creek, CA
National Provider Identifier
1558869362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 800 S Broadway Ste 310
Walnut Creek, CA 94596-5218 - Phone
- (925) 431-9011
- NPI assigned
- Jan 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Mailing address
1050 Lake Blvd Apt 32
Davis, CA 95616-2645
Phone (925) 431-9011
Other practice location 1
424 Peninsula Ave
San Mateo, CA 94401-1653
Phone (650) 286-4396
Other practice location 2
1947 Galileo Ct Ste 101
Davis, CA 95618-4882
Phone (530) 220-1450
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Analytic Consulting Ca | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1205505781
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1558869362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 LAKE BLVD APT 32",
"city": "DAVIS",
"state": "CA",
"postal_code": "956162645",
"telephone_number": "925-431-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S BROADWAY STE 310",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965218",
"telephone_number": "925-431-9011"
}
],
"practiceLocations": [
{
"address_1": "424 Peninsula Ave",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "944011653",
"country_code": "US",
"telephone_number": "650-286-4396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1947 Galileo Ct Ste 101",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956184882",
"country_code": "US",
"telephone_number": "530-220-1450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATIEE",
"first_name": "AESHA",
"credential": "M.S BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.