Individual provider Active NPI

Madison Ueding, RBT

  • Behavior Technician
  • Austin, TX
National Provider Identifier
1821669359
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
21-1743362 Issued in TX
Practice address
11718 Metric Blvd BLDG a
Austin, TX 78758-3203
Phone
(512) 265-3615
Fax
(512) 572-8607
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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 21-1743362 TX Primary

Addresses

Primary practice location

11718 Metric Blvd BLDG a
Austin, TX 78758-3203

Mailing address

7500 San Felipe St Ste 990
Houston, TX 77063-1708
Phone (512) 265-3615

Other identifiers 1

IdentifierTypeStateIssuer
21-1743362OtherTXBACB

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://bluesprigautism.com

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

LicenseStateTypeSpecialty
21-1743362TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1821669359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "512-265-3615",
            "fax_number": "512-572-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11718 METRIC BLVD BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583203",
            "telephone_number": "512-265-3615",
            "fax_number": "512-572-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEDING",
        "first_name": "MADISON",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "21-1743362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "21-1743362",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://bluesprigautism.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "11718 Metric Blvd Bldg A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787583203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.