Active NPI
Kelly Riedl, MS., BCBA
- Behavior Analyst
- Madison, WI
National Provider Identifier
1285023937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 327-140
- Practice address
- 2418 Crossroads Dr Ste 1600
Madison, WI 53718-2420 - Phone
- (608) 960-8921
- NPI assigned
- Jan 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 327-140 | WI | Primary |
Addresses
Primary practice location
2418 Crossroads Dr Ste 1600
Madison, WI 53718-2420
Mailing address
261 Meadow Dr
Genoa City, WI 53128-1977
Phone (262) 370-6635
Other names 1
- Kelly Budisch
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1285023937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 MEADOW DR",
"city": "GENOA CITY",
"state": "WI",
"postal_code": "531281977",
"telephone_number": "262-370-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 CROSSROADS DR STE 1600",
"city": "MADISON",
"state": "WI",
"postal_code": "537182420",
"telephone_number": "608-960-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDL",
"first_name": "KELLY",
"credential": "MS., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-19",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "327-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "BUDISCH",
"credential": "MS., DT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.