Maryam Heydari

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1397-140 Issued in WI

Practice address

1232 Fourier Dr Ste 101
Madison, WI 53717-1960

Phone

(608) 690-8256

NPI assigned

Jun 17, 2024

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

State licenses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1619710613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 FOURIER DR STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171960",
            "telephone_number": "608-690-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 FOURIER DR STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171960",
            "telephone_number": "608-690-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Whalen Rd",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "WI",
            "postal_code": "535931765",
            "country_code": "US",
            "telephone_number": "608-229-1643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYDARI",
        "first_name": "MARYAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1397-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Clinton Hewitt, PHARMD
• Karen Ann Hewitt
• Laura E. Hewitt, OT
• Camile L Hexsel Folk, M.D.
• Christian Hext, MD
• Robert J Heyden, OD
• Meredith Marie Heydenburg
• Hhu Xtra Care Inc
• Hhu Xtra Care, Inc.
• Paul Kilton Hick, MD

• Behavior Analyst in Madison, WI
• Providers in Madison, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.