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Matthew Mulkearns

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1346678117 Individual Practitioner Male Practitioner
Practice location in NPPES

6196 Lake Gray Blvd Ste 116
Jacksonville, FL 322445867

Call 8003564049 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6196 Lake Gray Blvd Ste 116

Jacksonville, FL 322445867

Telephone 8003564049
Fax 9414850519
Organization at the Same NPPES Address or Phone
Progressus Therapy, Llc Facility NPI 1629644919

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

487 active clinicians are listed under Behavior Analyst with a practice address in Jacksonville, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 487 clinicians have the CMS telehealth indicator.

0% of these 487 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-20-43893

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES None 0-15-6781

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 21, 2020

Recorded as MATTHEW MULKEARNS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2020

Assistant Behavior Analyst (license number reported to NPPES: None 0-15-6781)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2020

Behavior Analyst (license number reported to NPPES: FL 1-20-43893)

πŸ“
Updated Practice Location November 05, 2019

Registered at 6196 LAKE GRAY BLVD STE 116, JACKSONVILLE, FL 322445867 (Tel: 8003564049)

πŸ“
Updated Business Mailing Address November 05, 2019

Registered at 5 REVERE DR STE 120, NORTHBROOK, IL 600628005 (Tel: 8478073717)

πŸ‘€
Provider Name / Credentials Updated November 05, 2019

Recorded as MATTHEW MULKEARNS, BCABA 0-15-6781

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2019

Assistant Behavior Analyst (license number reported to NPPES: FL 0-19-9630)

πŸ“
Updated Business Mailing Address June 06, 2019

Registered at 1516 SPINDRIFT CIR W, NEPTUNE BEACH, FL 322663276 (Tel: 9044307829)

πŸ‘€
Provider Name / Credentials Updated June 06, 2019

Recorded as MATTHEW MULKEARNS, BCABA

βœ…
NPI Profile Active October 14, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 14, 2013

Registered at 6867 SOUTHPOINT DR N, 107, JACKSONVILLE, FL 322168043 (Tel: 9046196071)

πŸ“
Business Mailing Address (Initial Record) October 14, 2013

Registered at 1356 HICKMAN RD, JACKSONVILLE, FL 322162739 (Tel: 9044307829)

πŸ‘€
Provider Name / Credentials (Initial Record) October 14, 2013

Recorded as MATTHEW MULKEARNS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2013

Developmental Therapist

🟒
Initial NPI Registration & Enumeration October 14, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346678117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2013
Last Update: September 21, 2020
Sole Proprietor: No

Mailing Address

5 Revere Dr Ste 120

Northbrook, IL 600628005

Phone: 8478073717

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.