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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADDOX NIEBAUER, M.S., BCBA

Active Sole Proprietor

MADDOX NIEBAUER, M.S., BCBA is a Behavior Analyst healthcare provider located in LIBERTYVILLE, Illinois. NPI 1740860915 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · LIBERTYVILLE, IL

Registration Details

NPI Number
1740860915
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2021 (5.3127679236997 yrs)
Last Updated
May 5, 2025
Licenses
152.001310 (IL)
1-22-62337 (IL)
Sole Proprietor
Yes

Practice Information

Address
1860 W WINCHESTER RD STE 108
LIBERTYVILLE, IL, 600485312
Browse IL providers · Browse ZIP 60048
Phone
8475739486
Fax
8475496139
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in LIBERTYVILLE, IL

Name Credential NPI
REBECCA ANN PIKULA M.ED., BCBA 1598215279
SARAH ELIZABETH RIEGER M.S., BCBA 1205354982
BRIANNA PETERSON BACB 1-24-75392 1164911715
MOLLY LAMB 1598230039
ANGELICA GALLEGOS BCBA 1-21-48488 1730653049
JENNIFER MARIE KRYSKA MA, BCBA, LBA 1083178438
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.