IndividualActive
Matilda Wide
NPI 1619771201 · Behavior Technician · Metairie, LA
Matilda Wide is a Behavior Technician provider in Metairie, LA (NPI 1619771201).
Provider details
- NPI number
- 1619771201
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4202 N I-10 Service Rd W
Metairie, LA 70006
Phone: (888) 880-9270
Approximate (ZIP-level) locationGet directions
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-04-02
- Certified
- 2025-03-28
Frequently asked questions
- What is Matilda Wide's NPI number?
- Matilda Wide's National Provider Identifier (NPI) is 1619771201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matilda Wide's specialty?
- Matilda Wide is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Matilda Wide located?
- Matilda Wide's practice location on file with NPPES is 4202 N I-10 Service Rd W, Metairie, LA 70006.
- What is Matilda Wide's phone number?
- The practice phone number listed in the NPPES registry for Matilda Wide is (888) 880-9270.
- Is Matilda Wide's NPI active?
- Yes — Matilda Wide's NPI (1619771201) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.