Active NPI
Madison Lee, BCBA
- Behavior Analyst
- Norwalk, CT
National Provider Identifier
1679075030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1587
- Practice address
- 14 Westport Ave
Norwalk, CT 06851-3915 - Phone
- (858) 245-8524
- NPI assigned
- Mar 1, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-39434 | UT | |
| Behavior Analyst | 103K00000X | 3684 | TX | |
| Behavior Analyst | 103K00000X | 1587 | CT | Primary |
Addresses
Primary practice location
14 Westport Ave
Norwalk, CT 06851-3915
Mailing address
4268 W Hadley Wood LN
Herriman, UT 84096-1433
Phone (858) 245-8524
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1587 | CT | MD | Behavioral Analyst |
| 3684 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1679075030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4268 W HADLEY WOOD LN",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840961433",
"telephone_number": "858-245-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WESTPORT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068513915",
"telephone_number": "858-245-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MADISON",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "1-19-39434",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3684",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.