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Shaneka Nichole Mathews , BCBA

Behavior Analyst β€’ Moultrie, GA

Active NPI 1316305840 Individual Practitioner Female Practitioner
Practice location in NPPES

315 5th Ave Se
Moultrie, GA 317684728

Call 9417203273 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

315 5th Ave Se

Moultrie, GA 317684728

Telephone 9417203273
Organization at the Same NPPES Address or Phone
Turning The Key Autism And Aba Therapy Center, Llc Facility NPI 1457961633

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lynn Haven, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

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 Moultrie and Georgia

3 active clinicians are listed under Behavior Analyst with a practice address in Moultrie, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

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: 2020-08-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

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: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

3960 Arbor Trace Dr Unit B

Lynn Haven, FL 324446723

Phone: 8558326727

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location August 10, 2020

Registered at 315 5TH AVE SE, MOULTRIE, GA 317684728 (Tel: 9417203273)

πŸ“
Updated Business Mailing Address August 10, 2020

Registered at PO BOX 2375, MOULTRIE, GA 317762375 (Tel: 9417203273)

πŸ‘€
Provider Name / Credentials Updated August 10, 2020

Recorded as SHANEKA MATHEWS, BCBA

βœ…
NPI Profile Active February 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 01, 2016

Registered at 3960 ARBOR TRACE DR UNIT B, LYNN HAVEN, FL 324446723 (Tel: 8558326727)

πŸ“
Business Mailing Address (Initial Record) February 01, 2016

Registered at 4575 SE DIXIE HWY, STUART, FL 349976826

πŸ‘€
Provider Name / Credentials (Initial Record) February 01, 2016

Recorded as SHANEKA CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration January 28, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316305840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2016
Last Update: August 10, 2020
Sole Proprietor: No

Mailing Address

Po Box 2375

Moultrie, GA 317762375

Phone: 9417203273

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.