Madison Nicole Schaller, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

872 Issued in NC

Practice address

1031 WH Smith Blvd
Greenville, NC 27834

Phone

(252) 493-6252

Fax

(855) 492-1625

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Madison Schaller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nova-Ic, Inc.

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1477882249
  NPD

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1215598206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11077",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275325018",
            "telephone_number": "919-947-4015",
            "fax_number": "855-492-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-493-6252",
            "fax_number": "855-492-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "872",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "SCHALLER",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Lynn Scarborough
• Rebecca Ann Scarborough, RD, LDN
• Samantha Scarfone
• Jill Britton Scercy, M.S.LMFT
• Stephanie Ann Schaeffer
• Austin Mark Schambach, RPH
• Noah Christian Schammel, MD
• Michael Jacob Schatz
• Graham C. Schenck, SLP
• Alfred Quinn Scheuer, MD

• Behavior Analyst in Greenville, NC
• Providers in Greenville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.