Individual
MADELINE FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 S ANKENY BLVD, ANKENY, IA 50023-9417
(515) 710-7774
Mailing address
6633 MONTICELLO CT, JOHNSTON, IA 50131-1289
(151) 571-0777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-01496
IA
106E00000X
Assistant Behavior Analyst
Primary
0-25-16158
IA
106S00000X
Behavior Technician
RBT-22-210843
IA
Other
Enumeration date
04/07/2022
Last updated
02/03/2026
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