Individual
MADELINE CULBERTSON DRENKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 DEMOCRACY LN # 102B103, FAIRFAX, VA 22030-2518
(571) 386-0871
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
36049241
NC
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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