Madelyn Elizabeth Hicks, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1531 Issued in NU

Practice address

1600 Jason Maxwell Blvd
Lewisburg, TN 37091-2018

Phone

(931) 359-1197

NPI assigned

Jun 3, 2024

Last updated

Jun 3, 2024By the provider in NPPES

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

Practice roles

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

• Community Development Center

  dba Child Development Center

  • Behavior Analyst
  • Lewisburg, TN
  • NPI 1891145678
  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1174364301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MINKSLIDE RD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607132",
            "telephone_number": "615-767-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JASON MAXWELL BLVD",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912018",
            "telephone_number": "931-359-1197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Washington St W Ste C",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373342872",
            "country_code": "US",
            "telephone_number": "931-684-9203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Eaglette Way",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371609263",
            "country_code": "US",
            "telephone_number": "931-684-9203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MADELYN",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Allen Hayes, MA
• Judy Lynn Henderson, MS, RD, LDN
• Karen Marie Hendry, B.S.
• Shelbey Marissa Hicks-Yeiser
• Dorothy Rachel Hicks
• Kimberly Eastland Hill, PT
• Cassie Eve Hillis
• Chastity Danielle Hobbs, BS
• Mary Beth Holbert
• Tamara Carolynn Holley, BS

• Behavior Analyst in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.