Madlye Younie Fradestin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2979 Pga Blvd Ste 200
Palm Beach Gardens, FL 33410-3002

Phone

(561) 260-5900

Fax

(561) 513-8211

NPI assigned

Apr 23, 2021

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

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1336721968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 SABLE PINE CIR APT D2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334172797",
            "telephone_number": "561-507-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 PGA BLVD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103002",
            "telephone_number": "561-260-5900",
            "fax_number": "561-513-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRADESTIN",
        "first_name": "MADLYE",
        "middle_name": "YOUNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Foss, DC
• Antoinette Levette Foster, FNP-BC, APRN
• Pawel D Fotek, DMD
• Robert Joseph Fournier
• Jessika Helena Fox, FNP-BC
• Anabela Joy Fradique
• Connie Francis, LMHC
• Maria Patricia Francis
• Brenda Franco
• Betty Francois

• Behavior Technician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.