Paige Chylon Matthews
Individual provider Active NPI Behavior Technician · Wappapello, MO
NPI 1629856604 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1629856604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 18408 Wayne Route D
Wappapello, MO 63966-8659 - Phone
- (573) 222-8676
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Past |
Accepting new patients | |
| Family Counseling Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
18408 Wayne Route D
Wappapello, MO 63966-8659
Mailing address
18408 Wayne Route D
Wappapello, MO 63966-8659
Phone (573) 222-8676
Other providers in Wappapello, MO
- Ashley Jones
- Lake View Home Care, LLC
- Lake View Residential Care, LLC
- Lakeview Home Care Phase II, LLC
- Shannon Lee Latham
- Alexandria Lynne Miller
- Katie Jean Miller
- Heather Nicole Moreno Garcia
- Anthony Craig Puckett
- Betty Rickwa
All providers in Wappapello, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.