Active NPI
Madison Ganden, MA, BCBA, LBA
- Behavior Analyst
- Olivette, MO
National Provider Identifier
1043718174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2017031338
- Practice address
- 9374 Olive Blvd
Olivette, MO 63132-3253 - Phone
- (314) 932-2402
- NPI assigned
- Jan 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2017031338 | MO | Primary |
Addresses
Primary practice location
9374 Olive Blvd
Olivette, MO 63132-3253
Mailing address
1090 Progress Pkwy Apt 12a
Ste Genevieve, MO 63670-8978
Phone (636) 697-4229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017031338 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1043718174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 PROGRESS PKWY APT 12A",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "636708978",
"telephone_number": "636-697-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9374 OLIVE BLVD",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323253",
"telephone_number": "314-932-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDEN",
"first_name": "MADISON",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2017031338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olivette, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.