Madason Mae Whittaker, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69706 Issued in TX

Practice address

313 W Wall St
Grapevine, TX 76051-5285

Phone

(817) 442-7086

NPI assigned

Nov 21, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unique Pathways

  • Community/Behavioral Health Agency
  • Grapevine, TX
  • NPI 1366806523
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1043085830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W WALL ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515285",
            "telephone_number": "817-442-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W WALL ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515285",
            "telephone_number": "817-442-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "MADASON",
        "middle_name": "MAE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-23-69706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Whetsell, DC
• Michael Whitcomb, DMD, MD
• Erin White
• Janelle Dawn Whitehead, D.C.
• Christopher James Whiting, D.O.
• Cheryl Lynn Wilkening, OT
• Monique Nicole Wilkins
• Katrina Will, MA, LMFT
• Nevena Pavlovic Willcox, MD
• Alan Williams, DDS

• Behavior Analyst in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.