MR. KEVIN THENGUMOOTTIL MATHEW BCBA
NPI 1407620636
Behavior Analyst in Chicago, IL

Active since November 08, 2023
5059 W OAKDALE AVE, CHICAGO, IL 60641(773) 831-9950 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2023, Nov 8, 2023 (2 updates tracked since 2023).

About Mr. Kevin Thengumoottil Mathew Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN THENGUMOOTTIL MATHEW BCBA (NPI 1407620636) is an individual behavior analyst provider in Chicago, Illinois, licensed in Illinois (1-23-68973) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1407620636
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. KEVIN THENGUMOOTTIL MATHEWCredential: BCBA
Location Address5059 W OAKDALE AVEChicago, IL 60641-5016
Mailing Address5059 W Oakdale AveChicago, IL 60641-5016
Sole ProprietorNo
Enumeration DateNovember 8, 2023
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1407620636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in IL · 1-23-68973
Definition
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.
5059 W OAKDALE AVE, Chicago, IL 60641

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
5059 W OAKDALE AVE
CHICAGO, IL 60641
Behavior Analyst
5059 W OAKDALE AVE
CHICAGO, IL 60641
Behavior Analyst
5059 W OAKDALE AVE
CHICAGO, IL 60641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Mathew's NPI number?

The NPI number for Kevin Mathew is 1407620636. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Kevin Mathew located?

Kevin Mathew practices at 5059 W Oakdale Ave, Chicago, IL 60641. The listed phone number is (773) 831-9950.

What is Kevin Mathew's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Kevin Mathew was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.