Organization Active NPI

Rooted Behavior Supports LLC

  • Behavior Analyst
  • Waukee, IA
National Provider Identifier
1053287557
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ROOTED BEHAVIOR SUPPORTS LLC
Practice address
600 NW Rosemont Dr
Waukee, IA 50263-2905
Phone
(952) 594-2563
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Lindsey Pallas Madison, BCBA, LBANPI 1568209054
Title
Ceo and Lead Bcba
Phone
(952) 594-2563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

600 NW Rosemont Dr
Waukee, IA 50263-2905

Mailing address

600 NW Rosemont Dr
Waukee, IA 50263-2905
Phone (952) 594-2563

Other names 1

  • Rooted Behavior Supports Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1053287557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW ROSEMONT DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502632905",
            "telephone_number": "952-594-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW ROSEMONT DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502632905",
            "telephone_number": "952-594-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED BEHAVIOR SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "PALLAS",
        "authorized_official_title_or_position": "CEO AND LEAD BCBA",
        "authorized_official_telephone_number": "952-594-2563",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Behavior Supports",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.