Provider Demographics
NPI:1417554999
Name:POWERS, MADISEN J (BCBA)
Entity type:Individual
Prefix:
First Name:MADISEN
Middle Name:J
Last Name:POWERS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 MURFREESBORO PIKE STE 702
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2679
Mailing Address - Country:US
Mailing Address - Phone:844-359-4641
Mailing Address - Fax:615-577-5654
Practice Address - Street 1:590 MISSOURI AVE STE 204
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3084
Practice Address - Country:US
Practice Address - Phone:812-288-4688
Practice Address - Fax:812-610-8333
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
KY1-25-83472103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician