Matthew Douglas Busick, PHD, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2017-141 Issued in AL

Practice address

2233 Cahaba Valley Dr
Birmingham, AL 35242-2602

Phone

(205) 718-9519

NPI assigned

Mar 18, 2009

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1811138977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 6TH CT S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352123734",
            "telephone_number": "205-718-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 CAHABA VALLEY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422602",
            "telephone_number": "205-718-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSICK",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2020-11-05",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2017-141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROFILE #",
            "identifier": "12315497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSED BEHAVIOR ANALYST",
            "identifier": "2017-141",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATION #",
            "identifier": "1-06-3188",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Sarah Bush, CRNP
• Nathan Bush, CRNP
• Taylor Bush, DO
• Kevin Vance Bushey, MD
• Abida Bushra, MD
• Business Lab Solutions, Inc (ARCpoint Labs of Birmingham-Greystone)
• Dana Brasfield Bussey
• Anne Hearn Bussian, M.D.
• Sally Bussian
• Michaela L Bustamamte

• Behavior Analyst in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.