Madison Gingrow, MEDICAL ASSISTANT
Individual provider Active NPI Behavior Technician · Fairbanks, AK
NPI 1376256396 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1376256396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1423 Peger Rd
Fairbanks, AK 99709-5169 - Phone
- (907) 371-1300
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1423 Peger Rd
Fairbanks, AK 99709-5169
Mailing address
4020 Folker St
Anchorage, AK 99508-5321
Phone (907) 563-1000
Other providers in Fairbanks, AK
- Kenneth Gillespie
- Janet L Gilling
- Karin Gillis
- Lynn Gillitzer-Grover
- Barbara Gilson
- Chastity Lil Ginnis
- Jeremy Gipson
- Patricia Anne Givens
- Glacier General Medicine, LLC
- Kenneth Douglas Glaeser
All providers in Fairbanks, AK · Behavior Technician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.