MADISON KENWORTHY
NPI 1700235801
Behavior Analyst in Rockledge, FL

Q: What is Madison Kenworthy's NPI number?

The NPI number for Madison Kenworthy is 1700235801. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Q: What is Madison Kenworthy'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 Madison Kenworthy was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2016

1026 PATHFINDER WAY, ROCKLEDGE, FL 32955(855) 324-0885(317) 520-8200 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2023, Dec 16, 2019, Nov 5, 2018 and 2 more (5 updates tracked since 2017).

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About Madison Kenworthy NPPES

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

MADISON KENWORTHY (NPI 1700235801) is an individual behavior analyst provider in Rockledge, Florida, licensed in Florida (15-10564) and active in the NPI registry since June 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700235801

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMADISON KENWORTHY

Location Address1026 PATHFINDER WAYRockledge, FL 32955-3216

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (885) 324-0885 · Fax (317) 520-8200

Phone(855) 324-0885

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateJune 9, 2016

Last NPPES UpdateJanuary 3, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1700235801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 15-10564

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.

1026 PATHFINDER WAY, Rockledge, FL 32955

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Secondary Practice Locations 2

Location 1491 Tortuga WayMelbourne, FL 32904-6841 · Phone (321) 345-4232 · Fax (321) 765-6434

Location 21855 W Hibiscus BlvdMelbourne, FL 32901 · Phone (321) 265-4409

Other Identifiers 1

Other15-10564FL · Rbt

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESSISLAVA GARGOVA

Behavior Technician