Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407469091 Individual Practitioner Female Practitioner

Madison Annis , BCBA

Behavior Analyst • Venice, FL

Professional Overview & Biography Verified Profile Summary

Madison Annis, BCBA is a registered healthcare professional specializing in Behavior Analyst in Venice, FL. Practice services are available at 19107 MANGIERI ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19107 Mangieri St

Venice, FL 342934559

Telephone 6037933118

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Venice, FL

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

Practicing in Venice, 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: 2023-12-05
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-20-42491

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

Medicaid State Provider ID
111601500 (FL)
Medicaid State Provider ID
3125416 (NH)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location December 05, 2023

Registered at 19107 MANGIERI ST, VENICE, FL 342934559 (Tel: 6037933118)

📍
Updated Business Mailing Address December 05, 2023

Registered at 19107 MANGIERI ST, VENICE, FL 342934559 (Tel: 6037933118)

📍
Updated Business Mailing Address August 11, 2021

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 6037933118)

📍
Updated Practice Location August 09, 2021

Registered at 1413 TECH BLVD STE 122, TAMPA, FL 336197822 (Tel: 6037933118)

📍
Updated Business Mailing Address August 09, 2021

Registered at 12161 MERCADO DR # 127, VENICE, FL 342931147 (Tel: 6037933118)

📍
Updated Practice Location March 02, 2021

Registered at 2 OLD MILL RD, LEE, NH 038616708 (Tel: 6037933118)

📍
Updated Business Mailing Address March 02, 2021

Registered at 2 OLD MILL RD, LEE, NH 038616708 (Tel: 6037933118)

NPI Profile Active August 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2020

Registered at 57 REGIONAL DR STE 7, CONCORD, NH 033018518 (Tel: 6032247630)

📍
Updated Business Mailing Address August 25, 2020

Registered at 1 VERNEY DR, GREENFIELD, NH 030475000 (Tel: 6035473311)

👤
Provider Name / Credentials Updated August 25, 2020

Recorded as MADISON ANNIS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2020

Behavior Analyst (License #1-20-42491 in None)

🟢
Initial NPI Registration & Enumeration August 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Madison Annis. Be the first to share your experience!

Sign in to leave a review for Madison Annis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407469091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2020
Last Update: December 05, 2023
Sole Proprietor: No

Mailing Address

19107 Mangieri St

Venice, FL 342934559

Phone: 6037933118

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.