Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700235801 Individual Practitioner Female Practitioner

Madison Kenworthy

Behavior Analyst • Rockledge, FL

Professional Overview & Biography Verified Profile Summary

Madison Kenworthy is a registered healthcare professional specializing in Behavior Analyst in Rockledge, FL. Practice services are available at 1026 PATHFINDER WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1026 Pathfinder Way

Rockledge, FL 329553216

Telephone 8553240885
Fax 3175208200
Associated Practice Facility / Clinic
🏢 Brevard Urology Associates Pa Facility NPI 1780697854

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Rockledge, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
28 Specialists

Practicing in Rockledge, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rbt
15-10564 (FL)

Secondary Practice Locations

491 Tortuga Way

Melbourne, FL 329046841

Phone: 3213454232

1855 W Hibiscus Blvd

Melbourne, FL 32901

Phone: 3212654409

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003205543

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Jacob Tonna

Behavior Analyst

NPI 1003222977
NPI 1003313644

Master of Arts, Board Certified Behavior Analyst

NPI 1003337445

Master of Science, Board Certified Behavior Analyst

Karynthia Little

Behavior Analyst

NPI 1003385410
Taylor Caddell , RBT

Behavior Technician

NPI 1003400417

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location January 03, 2023

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

📍
Updated Business Mailing Address January 03, 2023

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

📍
Updated Practice Location November 05, 2018

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

📍
Updated Business Mailing Address November 05, 2018

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

NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2017

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

📍
Updated Business Mailing Address December 04, 2017

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

👤
Provider Name / Credentials Updated December 04, 2017

Recorded as MADISON KENWORTHY

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

Behavior Analyst (License #15-10564 in FL)

NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2016

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

📍
Updated Business Mailing Address June 09, 2016

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

👤
Provider Name / Credentials Updated June 09, 2016

Recorded as MADISON KENWORTHY

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

Behavior Analyst (License #15-10564 in FL)

🟢
Initial NPI Registration & Enumeration June 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.