Individual
MADELAINE MAE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-8863
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/30/2019
Last updated
08/11/2021
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