Madeline Ann Fudali, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11934426 Issued in GA

Practice address

37 Johnson Ferry Rd Ste 100
Marietta, GA 30068-4906

Phone

(678) 619-0229

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1558822239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 SURREY PT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093277",
            "telephone_number": "678-314-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 JOHNSON FERRY RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684906",
            "telephone_number": "678-619-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDALI",
        "first_name": "MADELINE",
        "middle_name": "ANN",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "11934426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Anne Fry, OD
• Christopher Morwood Frye, PT
• Serena Shah Frye, PA-C
• Henry Frysh, MD
• Nicholas Fuchs
• Gabriela Victoria Fuentes Salichs, MD
• Temesgen Fufa, PHARMD
• Fulfillment Chiropractic, LLC
• Averie Caroline Fuller
• Emmett Frazer Fuller, MA, LPC

• Behavior Analyst in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.