Active NPI
Madeline Roznos, BCBA
- Behavior Analyst
- Wauwatosa, WI
National Provider Identifier
1255949301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 375
- Practice address
- 2645 N Mayfair Rd Ste 130
Wauwatosa, WI 53226-1304 - Phone
- (141) 425-6007
- NPI assigned
- Jul 15, 2020
- 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 | 375 | WI | Primary |
Addresses
Primary practice location
2645 N Mayfair Rd Ste 130
Wauwatosa, WI 53226-1304
Mailing address
2645 N Mayfair Rd Ste 130
Wauwatosa, WI 53226-1304
Phone (141) 425-6007
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": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1255949301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 N MAYFAIR RD STE 130",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261304",
"telephone_number": "141-425-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 N MAYFAIR RD STE 130",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261304",
"telephone_number": "141-425-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZNOS",
"first_name": "MADELINE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.