Active NPIIndividual provider

Shanelle Mathis

Behavior Technician in Randolph, Massachusetts

NPI Number1922907815
Practice location
42 Bartlett RD, Randolph, MA 02368-3608
Fax
—
Last updated
November 5, 2026

Shanelle Mathis is a Behavior Technician based in Randolph, MA. Shanelle Mathis practices in Randolph, MA. The NPI Number for Shanelle Mathis is 1922907815. The current practice location address for Shanelle Mathis is 42 Bartlett RD, Randolph, MA 02368-3608 and can be reached out via phone at 617-396-6195.

Provider Profile Details

NPI Number
1922907815
Provider Name
Shanelle Mathis
Provider Entity Type
Individual
Gender
Male
Address
42 Bartlett RD, Randolph, MA 02368-3608
Phone Number
617-396-6195
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
November 5, 2026
Last Update Date
November 5, 2026
Certification Date
November 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Bartlett RD
Randolph, MA 02368-3608
Zip
02368-3608
Phone Number
617-396-6195
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
42 Bartlett RD
Randolph, MA 02368-3608
City
Randolph
State
MA
Zip
02368-3608

License Information

License State
MA
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shanelle Mathis?

The NPI number of Shanelle Mathis is 1922907815. It was assigned on November 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Shanelle Mathis?

Shanelle Mathis is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Shanelle Mathis practice?

The practice location is 42 Bartlett RD, Randolph, MA 02368-3608. The office can be reached at 617-396-6195 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922907815 directly on the NPPES registry website.

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