Provider Demographics
NPI:1528462538
Name:HARMAN, MADELYNN (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:MADELYNN
Middle Name:
Last Name:HARMAN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 ANSBOROUGH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-4422
Mailing Address - Country:US
Mailing Address - Phone:319-403-8505
Mailing Address - Fax:
Practice Address - Street 1:3032 ANSBOROUGH AVE STE A
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-4422
Practice Address - Country:US
Practice Address - Phone:319-403-8505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA195-140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst