MARYAM HEYDARI
NPI 1619710613
Behavior Analyst in Madison, WI

Q: What is Maryam Heydari's NPI number?

The NPI number for Maryam Heydari is 1619710613. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Q: What is Maryam Heydari's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Heydari was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2024

1232 FOURIER DR STE 101, MADISON, WI 53717(608) 690-8256 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, Jun 17, 2024 (2 updates tracked since 2024).

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About Maryam Heydari NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYAM HEYDARI (NPI 1619710613) is an individual behavior analyst provider in Madison, Wisconsin, licensed in Wisconsin (1397-140) and active in the NPI registry since June 2024. She maintains a secondary practice location in Verona.

NPPES Registry Identity

NPI1619710613

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMARYAM HEYDARI

Location Address1232 FOURIER DR STE 101Madison, WI 53717-1960

Mailing Address1232 Fourier Dr Ste 101Madison, WI 53717-1960 · (608) 690-8256

Phone(608) 690-8256

Sole ProprietorNo

Enumeration DateJune 17, 2024

Last NPPES UpdateMay 29, 20252 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1619710613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in WI · 1397-140

Definition

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

1232 FOURIER DR STE 101, Madison, WI 53717

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