Dora E. Matos

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1313 NE 134TH St Ste 110
Vancouver, WA 98685-2721

Phone

(360) 518-6249

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Formations Behavior Therapy

  • Community/Behavioral Health Agency
  • Vancouver, WA
  • NPI 1326546235
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1629681697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 NE 75TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986624609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 NE 134TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852721",
            "telephone_number": "360-518-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "DORA",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D Mathias
• Kimberly Mathis, LMHC
• Kristal Mathis, MA MFT CMHS MHP
• Shawn Mathis, RC
• Aleydis Matiaz
• Jessica Matous
• Steven Matous, MD
• Martin J Matovich, DMD
• Christopher John Matsie, LMT
• Megan Mattappally

• Behavior Analyst in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.