Individual provider Active NPI

Madison Pluto, BCBA

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1144765058
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-26633 Issued in FL
Practice address
12767 Stone Tower Loop
Fort Myers, FL 33913-6768
Phone
(734) 216-1010
NPI assigned
Dec 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-16-7517 FL
Behavior Analyst 103K00000X 1-17-26633 FL Primary

Addresses

Primary practice location

12767 Stone Tower Loop
Fort Myers, FL 33913-6768

Mailing address

12767 Stone Tower Loop
Fort Myers, FL 33913-6768
Phone (734) 216-1010

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

NPI Registry JSON

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

{
    "created_epoch": "1483142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1144765058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12767 STONE TOWER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136768",
            "telephone_number": "734-216-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12767 STONE TOWER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136768",
            "telephone_number": "734-216-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTO",
        "first_name": "MADISON",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-31",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-16-7517",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-26633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.