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Madelyn Vickery , BCBA

Behavior Analyst β€’ Statesboro, GA

Active NPI 1154036572 Individual Practitioner Female Practitioner
Practice location in NPPES

12313 Us Highway 301 S
Statesboro, GA 304583218

Call 8008441232 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

12313 Us Highway 301 S

Statesboro, GA 304583218

Telephone 8008441232
Organization at the Same NPPES Address or Phone
Chicago Autism And Behavior Specialists Facility NPI 1295021269

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 1 additional practice-address record in Savannah, GA. 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

2023

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 Statesboro and Georgia

15 active clinicians are listed under Behavior Analyst with a practice address in Statesboro, GA (2,835 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Statesboro

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 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: 2023-11-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA 12363982

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: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

30 Park Of Commerce Way Ste 100

Savannah, GA 314051358

Phone: 8008441232

Career & Practice History Timeline

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

8 Historical Events
🏒
Secondary Practice Location Registered November 01, 2023

Additional practice office at 30 Park Of Commerce Way Ste 100, Savannah, GA 314051358

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2023

Behavior Analyst (license number reported to NPPES: GA 12363982)

βœ…
NPI Profile Active January 19, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 19, 2023

Registered at 12313 US HIGHWAY 301 S, STATESBORO, GA 304583218 (Tel: 8008441232)

πŸ“
Business Mailing Address (Initial Record) January 19, 2023

Registered at 975 W HAWTHORN DR, ITASCA, IL 601432056 (Tel: 8008441232)

πŸ‘€
Provider Name / Credentials (Initial Record) January 19, 2023

Recorded as MADELYN VICKERY, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2023

Behavior Analyst

🟒
Initial NPI Registration & Enumeration January 19, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154036572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2023
Last Update: November 01, 2023
Sole Proprietor: Yes

Mailing Address

975 W Hawthorn Dr

Itasca, IL 601432056

Phone: 8008441232

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.