Individual
MADISYN ALEXIS WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2875 WAIANAE UKA AVE, WAHIAWA, HI 96786-7006
(606) 872-3729
Mailing address
2810 KUMAKALII ST, WAHIAWA, HI 96786-7061
(606) 872-3729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171462919
—
CO
Enumeration date
11/04/2022
Last updated
02/16/2023
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