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Madison Kenworthy

Behavior Analyst β€’ Rockledge, FL

Active NPI 1700235801 Individual Practitioner Female Practitioner
Practice location in NPPES

1026 Pathfinder Way
Rockledge, FL 329553216

Call 8553240885 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1026 Pathfinder Way

Rockledge, FL 329553216

Telephone 8553240885
Fax 3175208200
Organization at the Same NPPES Address or Phone
Brevard Urology Associates Pa Facility NPI 1780697854

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Melbourne, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Rockledge and Florida

26 active clinicians are listed under Behavior Analyst with a practice address in Rockledge, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rockledge

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 15-10564

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Rbt
15-10564 (FL)

Secondary Practice Locations

491 Tortuga Way

Melbourne, FL 329046841

Phone: 3213454232

1855 W Hibiscus Blvd

Melbourne, FL 32901

Phone: 3212654409

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1982795985

Doctor of Medicine (M.D.)

NPI 1689661126

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location January 03, 2023

Registered at 1026 PATHFINDER WAY, ROCKLEDGE, FL 329553216 (Tel: 8553240885)

πŸ“
Updated Business Mailing Address January 03, 2023

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8853240885)

πŸ“
Updated Practice Location November 05, 2018

Registered at 125 E NASA BLVD, MELBOURNE, FL 32901 (Tel: 3213726813)

πŸ“
Updated Business Mailing Address November 05, 2018

Registered at 125 E NASA BLVD, MELBOURNE, FL 329011900 (Tel: 3213726813)

βœ…
NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 04, 2017

Registered at 1855 W HIBISCUS BLVD, MELBOURNE, FL 329012622 (Tel: 3212654409)

πŸ“
Updated Business Mailing Address December 04, 2017

Registered at 1855 W HIBISCUS BLVD, MELBOURNE, FL 329012622 (Tel: 3212654409)

πŸ‘€
Provider Name / Credentials Updated December 04, 2017

Recorded as MADISON KENWORTHY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Behavior Analyst (license number reported to NPPES: FL 15-10564)

βœ…
NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2016

Registered at 491 TORTUGA WAY, MELBOURNE, FL 329046841 (Tel: 3213454232)

πŸ“
Business Mailing Address (Initial Record) June 09, 2016

Registered at 491 TORTUGA WAY, MELBOURNE, FL 329046841 (Tel: 3213454232)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2016

Recorded as MADISON KENWORTHY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2016

Behavior Analyst (license number reported to NPPES: FL 15-10564)

🟒
Initial NPI Registration & Enumeration June 09, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700235801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2016
Last Update: January 03, 2023
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8853240885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.