Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryam Heydari

Individual provider Behavior Technician · NPI 1619710613

Maryam Heydari is a Behavior Technician in Madison, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1232 Fourier Dr Ste 101
Madison, WI 53717-1960
Phone: (608) 690-8256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 Whalen Rd, Verona, WI 53593-1765 — (608) 229-1643

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1397-140 (WI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1619710613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address1232 Fourier Dr Ste 101, Madison, WI 53717-1960

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