Abigail Mata Castillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT21150488 Issued in TX

Practice address

15140 Badger Ranch Blvd
Ste 301 & 302
Woodway, TX 76712

Phone

(254) 829-4787

NPI assigned

Jan 29, 2021

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

Other identifiers 1

Other names 1

• Abigail Reubeili Mata Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Thrive Behavioral Consulting, LLC

  • Behavior Analyst
  • Hewitt, TX
  • NPI 1740722107
  NPD (past)

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1902497290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 W 11TH ST",
            "city": "MCGREGOR",
            "state": "TX",
            "postal_code": "766571937",
            "telephone_number": "254-420-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15140 BADGER RANCH BLVD",
            "address_2": "STE 301 & 302",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-829-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ABIGAIL",
        "middle_name": "MATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT21150488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "21150488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "MATA",
            "middle_name": "REUBEILI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caldwell-Johnson PLLC
• Xuikierra Campfield
• Nancy Canada, LVN
• Monique Candelaria
• Heather Noel Carey, LMFT ASSOCIATE
• Juanita Castillo
• Central Texas First Assist
• Areisy Chacon
• Maxwell Gallant Chapman
• Jean-Marc Edouard Choufani, BDS, MS

• Behavior Technician in Woodway, TX
• Providers in Woodway, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.