Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antoinette Matlock, RBT

Individual provider Behavior Technician · NPI 1528706975

Antoinette Matlock, RBT is a Behavior Technician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512
Phone: (574) 400-2169
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-215439 (IN)

Record details

NPI number1528706975
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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