Individual
MADILYN MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(211) 481-4040
Mailing address
11021 W GARVERDALE LN APT 102, BOISE, ID 83713-5510
(630) 460-0443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-112659
—
Other
Enumeration date
02/13/2020
Last updated
02/20/2025
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