Stephi Mathew, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12261732 Issued in GA

Practice address

1875 Old Alabama Rd Ste &1120
Roswell, GA 30076-2272

Phone

(770) 558-6055

NPI assigned

Oct 3, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1609590769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 OLD ALABAMA RD STE 1110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 OLD ALABAMA RD STE &1120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762272",
            "telephone_number": "770-558-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "STEPHI",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "12261732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Mascaro
• Heather Woodall Masi, RN BSN
• Tanya Masocol, LMT
• Mary Massey
• David M Mastro, DDS
• CHI T Tianne Mathias
• Bianca Mathis, RBT
• Jessica Lauren Mathisen, LPC
• Matias Health Chiropractic LLC
• Soammy Liz Matias, D.C.

• Behavior Analyst in Roswell, GA
• Providers in Roswell, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.