Individual provider Active NPI

Leila Maadooliat

  • Behavior Technician
  • Glendale, WI
National Provider Identifier
1477474203
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-528678 Issued in WI
Practice address
225 W Bayside Dr Unit 302
Glendale, WI 53217-1560
Phone
(262) 302-0984
NPI assigned
Jul 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-26-528678 WI Primary

Addresses

Primary practice location

225 W Bayside Dr Unit 302
Glendale, WI 53217-1560

Mailing address

225 W Bayside Dr Unit 302
Glendale, WI 53217-1560

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

NPI Registry JSON

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1477474203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W BAYSIDE DR UNIT 302",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532171560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W BAYSIDE DR UNIT 302",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532171560",
            "telephone_number": "262-302-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAADOOLIAT",
        "first_name": "LEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WI",
            "license": "RBT-26-528678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.