Individual
MADELINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 E MERIDIAN PARK LOOP STE C, WASILLA, AK 99654-7233
(907) 864-0099
(907) 864-0093
Mailing address
3389 W DISCOVERY LOOP, WASILLA, AK 99654-1277
(907) 841-6602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-464144
AK
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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