Madison Walsh, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61343059 Issued in WA

Practice address

1445 NW Mall St
Issaquah, WA 98027-7900

Phone

(425) 409-0262

NPI assigned

Jun 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1386204188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 NW MALL ST STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NW MALL ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277900",
            "telephone_number": "425-409-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Dexter Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981093598",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MADISON",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60967826",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61343059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Marie Wais, N.D.
• Marquita Waldron
• Walgreen Co (Walgreens #06357)
• Kristy Ann Waller, PHD RN BC-FHS
• Valerie Walser
• Ian David Walters, MA, LMFT
• Wanda Boe, Ms, LMFT
• Gene Jason Wang, D.M.D.
• Jessie Leawei Wang, M.D.
• Jianjun Wang

• Behavior Analyst in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.