Madison Isabel Pearl, M.A., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61418409 Issued in WA

Practice address

1445 NW Mall St Ste 2
Issaquah, WA 98027-7900

Phone

(206) 380-3009

Fax

(208) 416-6922

NPI assigned

Aug 15, 2019

Last updated

Mar 31, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastside Social Skills Therapy LLC

  • Preferred Provider Organization
  • Issaquah, WA
  • NPI 1659765816
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1407402340",
    "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",
            "telephone_number": "206-380-3009",
            "fax_number": "208-416-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NW MALL ST STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277900",
            "telephone_number": "206-380-3009",
            "fax_number": "208-416-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "MADISON",
        "middle_name": "ISABEL",
        "credential": "M.A., BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61418409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-23-64469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Joshua Payne, DMD
• Melissa Hackbarth Payson, PA-C
• Monica Paz
• Peak Retina PLLC
• Peak Sports and Spine PT-Issaquah P S
• Arianna Cheyenn Pearman
• Kelsey Pearson, PA-C
• Larissa D Peay, LICSW
• Ron Pechmagre, LMT
• Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics (Pine Lake)

• 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 Mar 31, 2023; 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.