Provider Demographics
NPI:1962271585
Name:MATNEY, NENAH N (BCBA)
Entity type:Individual
Prefix:MISS
First Name:NENAH
Middle Name:N
Last Name:MATNEY
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:NENAH
Other - Middle Name:N
Other - Last Name:SEWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7375 W US 52
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-8950
Mailing Address - Country:US
Mailing Address - Phone:888-877-7222
Mailing Address - Fax:
Practice Address - Street 1:7375 W US 52
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-8950
Practice Address - Country:US
Practice Address - Phone:888-877-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0-23-14950106E00000X
1-24-72467103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst