Madelyn Nadine Nelson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67437 Issued in IL

Practice address

4112 Fieldstone Rd
Suite B
Champaign, IL 61822-6182

Phone

(888) 308-3728

NPI assigned

Apr 2, 2021

Last updated

Aug 8, 2023By the provider in NPPES

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

Other names 1

• Ms. Madelyn Nadine Nelson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Behavioral Perspective Inc.

  • Behavior Analyst
  • West Chicago, IL
  • NPI 1578883500
  NPD (past)

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1447839089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W ROOSEVELT RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853739",
            "telephone_number": "888-308-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 FIELDSTONE RD",
            "address_2": "SUITE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226182",
            "telephone_number": "888-308-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MADELYN",
        "middle_name": "NADINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "20-140248",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-23-67437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELYN",
            "last_name": "NELSON",
            "middle_name": "NADINE",
            "prefix": "MS.",
            "credential": "RBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abdul Basit Nawaz
• Sarah Neidlinger
• Candyce Neil, B.S.
• Craig D Neitzel, MD
• Douglas Nelson, LMT, BCTMB
• Nyia Nelson
• Nemeh Eyecare P.C.
• Lindsey Nicole Newby, PA-C
• Crystal W Newman, PHD
• John L. Newman, M.D.

• Behavior Analyst in Champaign, IL
• Providers in Champaign, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.