MEGAN MARIE PUDDY (NPI# 1578987822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578987822 |
| Entity Type | Individual |
| Full Name | MEGAN MARIE PUDDY |
| Other Name | MEGAN MARIE MATHY |
| Credential | BCBA |
| Practice Address |
1210 Fourier Dr Suite #100 Madison WI 53717-1969 |
| Practice Telephone | 6086629327 |
| Practice Fax Number | 6086629041 |
| Mailing Telephone | 6086629327 |
| Mailing Fax Number | 6086629041 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 79-140 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WI | 79-140 | 01 |
| Street Address |
1210 FOURIER DR SUITE #100 |
| City | MADISON |
| State | WI |
| Zip Code | 53717-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013297787 | Jodie Lynn Garcia | Social Worker | 1210 Fourier Dr, Madison, WI 53717-1969 | 2011-08-25 |
| 1235689803 | Cortney Bindrich | Psychologist | 1210 Fourier Dr, Madison, WI 53717-1969 | 2016-10-07 |
| 1699134353 | Jodi Elizabeth Dryer | Counselor | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2016-02-23 |
| 1831556182 | Kimberly Joy Wunschel | Behavioral Analyst | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2016-01-18 |
| 1467827576 | Kimberly A Knippel | Behavioral Analyst | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2015-12-01 |
| 1134502651 | Christine Marie Polacek | Behavioral Analyst | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2015-07-01 |
| 1144603655 | Erin Leigh Junemann | Behavioral Analyst | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2015-07-01 |
| 1023491545 | Andrea Koepke Whalen | Behavioral Analyst | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2015-07-01 |
| 1770987356 | Crystal Renee Held | Behavioral Analyst | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2014-10-10 |
| 1164859054 | Emily Susan Martin | Occupational Therapist | 1210 Fourier Dr, Suite #100, Madison, WI 53717-1969 | 2013-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
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| 1487260337 | Chileshe Chisanga | Behavioral Analyst | 32c Wall St, Madison, CT 06443-3100 | 2020-09-16 |
| 1174147078 | Emma Castrogiovanni | Behavioral Analyst | 575 Donofrio Dr Ste 200, Madison, WI 53719-2832 | 2020-06-05 |
| 1417504135 | The Centers for Behavior Intervention | Behavioral Analyst | 6709 Raymond Rd, Madison, WI 53719-3943 | 2019-08-19 |
| 1932760626 | Destiney Calvert | Behavioral Analyst | 208 Green Rd, Madison, IN 47250-2629 | 2019-06-24 |
| 1710458104 | Brianna Zahasky Kauer | Behavioral Analyst | 554 Troy Dr, Madison, WI 53704-1575 | 2018-12-10 |
| 1003381518 | Keshia Thomas | Behavioral Analyst | 351 Cumberland Hills Dr, Madison, TN 37115-2253 | 2018-10-11 |
| 1487151999 | Jennifer Goldade | Behavioral Analyst | 3113 W Beltline Hwy, Madison, WI 53713-2848 | 2018-04-11 |
| 1962937540 | Piyaporn Moua | Behavioral Analyst | 530 Plaza Dr Apt 104, Madison, WI 53719-3853 | 2017-04-20 |
| 1770021834 | Kyle Dinger | Behavioral Analyst | 6409 Odana Rd Ste 1d, Madison, WI 53719-1125 | 2017-02-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.