Active NPI
Matthew Dickinson
- Behavior Analyst
- Kansas City, MO
National Provider Identifier
1578091401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2025033346
- Practice address
- 5863 NW 72ND St
Kansas City, MO 64151-1483 - Phone
- (816) 984-8282
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-24-15483 | MO | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 2025033346 | MO | Primary |
Addresses
Primary practice location
5863 NW 72ND St
Kansas City, MO 64151-1483
Mailing address
5863 NW 72ND St
Kansas City, MO 64151-1483
Phone (816) 984-8282
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 |
|---|---|---|---|
| 2025033346 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1578091401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5863 NW 72ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641511483",
"telephone_number": "816-984-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5863 NW 72ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641511483",
"telephone_number": "816-984-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "MO",
"license": "0-24-15483",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2025033346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.