Matthew George Barnes, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

268643 Issued in KY

Practice address

25 Beech Dr
Edgewood, KY 41017-2302

Phone

(502) 689-8147

NPI assigned

Jan 12, 2022

Last updated

Mar 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1720739600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BEECH DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172302",
            "telephone_number": "502-689-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BEECH DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172302",
            "telephone_number": "502-689-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "00981",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "268643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED OHIO BEHAVIOR ANALYST (COBA)",
            "identifier": "00981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST (KY)",
            "identifier": "268643",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Barber, RBT
• James F Bardgett Jr., M.D.
• Nina Marie Barhorst, APRN
• Maria Elaine Barnes
• Mary Ann Barnes, MD
• Bradley J Barnett, DO, MHA
• Deborah Joy Barnett, PA-C
• Grant Russell Barnett, MD
• Daniel Bartlett, DPT
• Tiffani Sandra Bartolac, APRN

• Behavior Analyst in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.