Matthew Scott Hodges

Individual provider Active NPI Behavior Technician · Piedmont, MO

NPI 1598530974 · NPPES record last updated Nov 16, 2023

Key facts

NPI
1598530974
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone
(573) 223-7649
Fax
(573) 223-7691
NPI assigned
Nov 16, 2023
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. Past
since Nov 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5 Sugar Creek Rd
Piedmont, MO 63957-9612

Mailing address

5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone (573) 223-7649

Other providers in Piedmont, MO

All providers in Piedmont, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.