Individual provider · Type 1 NPI

Madyson Michele Wicks, RBT

Behavior Analyst · St. Louis, MO

NPI number 1558041566 Active

Practice location

11432 Tesson Ferry Rd
St. Louis, MO 63123-6925

Call (217) 525-8332 Map

Fax (217) 789-1420

Mailing address

5220 6th Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-25-81340 (MO)
Behavior Technician	106S00000X	None listed

Behavior Analyst: 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…

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About NPI 1558041566

Madyson Michele Wicks, RBT's National Provider Identifier is 1558041566, issued on Jul 24, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 16, 2025.