Active NPI
Madison Whitley, M.A., BCBA, COBA
- Behavior Analyst
- Brecksville, OH
National Provider Identifier
1639748148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-62073
- Practice address
- 6960 S Edgerton Rd
Brecksville, OH 44141-3184 - Phone
- (440) 241-8366
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-22-62073 | OH | Primary |
Addresses
Primary practice location
6960 S Edgerton Rd
Brecksville, OH 44141-3184
Mailing address
1216 Barker Blvd Apt a
Kent, OH 44240-8618
Phone (910) 787-7466
Other practice location 1
308 Greenville Blvd SE Ste B1
Greenville, NC 27858-5758
Phone (252) 341-4192
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reaching New Heights, LLC | Current | Accepting new patients | |
| Priorities ABA, PLLC | Behavior Analyst | Past | Accepting new patients |
Locations
6960 S Edgerton Rd
Brecksville, OH 44141
Phone (440) 241-8366
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Brecksville, OH
- NPI 1871015735
-
- Behavior Analyst
- Greenville, NC
- NPI 1942351234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1639748148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 BARKER BLVD APT A",
"city": "KENT",
"state": "OH",
"postal_code": "442408618",
"telephone_number": "910-787-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 S EDGERTON RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413184",
"telephone_number": "440-241-8366"
}
],
"practiceLocations": [
{
"address_1": "308 Greenville Blvd SE Ste B1",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278585758",
"country_code": "US",
"telephone_number": "252-341-4192",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITLEY",
"first_name": "MADISON",
"credential": "M.A., BCBA, COBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-22-62073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.