Active NPI
Madeline Elaine McDonough, M.ED, BCBA
- Behavior Analyst
- Southern Pines, NC
National Provider Identifier
1255719332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4471
- Practice address
- 375 SE Broad St Ste a&B
Southern Pines, NC 28387-6057 - Phone
- (980) 360-8989
- Fax
- (954) 342-6481
- NPI assigned
- May 11, 2015
- 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 | 4471 | NC | Primary |
Addresses
Primary practice location
375 SE Broad St Ste a&B
Southern Pines, NC 28387-6057
Mailing address
375 SE Broad St Ste a&B
Southern Pines, NC 28387-6057
Phone (980) 360-8989
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 Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1255719332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 SE BROAD ST STE A&B",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283876057",
"telephone_number": "980-360-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 SE BROAD ST STE A&B",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283876057",
"telephone_number": "980-360-8989",
"fax_number": "954-342-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "MADELINE",
"middle_name": "ELAINE",
"credential": "M.ED, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "4471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.