Provider Demographics
NPI:1023813524
Name:MAJESKI-GERKEN, MADDISON J (BCBA)
Entity type:Individual
Prefix:
First Name:MADDISON
Middle Name:J
Last Name:MAJESKI-GERKEN
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 1:8444 N 90TH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4440
Mailing Address - Country:US
Mailing Address - Phone:480-973-3680
Mailing Address - Fax:
Practice Address - Street 1:8444 N 90TH ST STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4440
Practice Address - Country:US
Practice Address - Phone:480-973-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1-25-79382103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst