Mattie Marie Watson

Key facts

NPI

1750196648

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

500 Health Blvd
Daytona Beach, FL 32114-1558

Phone

(386) 267-3161

NPI assigned

Feb 10, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2025.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1750196648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "866-610-0580",
            "fax_number": "866-611-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141558",
            "telephone_number": "386-267-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MATTIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

• Tyron Devour Watkins, ATC/L
• Jaleel Watson
• Joseph Thomas Watson, D.P.M.
• Joslynn Watson, LMHC
• Lindsey Watson, APRN
• James Robert Weaver Jr., O.D.
• Patricia Erin Weaver, FNP
• Cherise Webb, M.A., RMHCI
• Kettia Jenny Webber
• Cody Weber, PHARMD

All providers in Daytona Beach, FL · Behavior Technician in Florida