Madeline Wesselmann
Behavior Technician in O Fallon, IL. Individual provider (NPI-1).
NPI number1104784016
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1104784016
- Entity type
- Individual (NPI-1)
- Name
- Madeline Wesselmann
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2026
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1716 Corporate XingO Fallon, IL 62269-3734
Phone 618-226-4687
Mailing address
398 Baden AvePocahontas, IL 62275-3638
Phone 618-335-0751 · Fax 618-335-0751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 296 Behavior Technician providers in O Fallon · All 1,289 providers in O Fallon
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