Madelaine Mae Blankenship
Individual provider Active NPI Behavior Analyst · Omaha, NE
NPI 1790249043 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1790249043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 6902 Pine St
Omaha, NE 68106-2855 - Phone
- (402) 559-8863
- NPI assigned
- Jan 30, 2019
- 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 | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
6902 Pine St
Omaha, NE 68106-2855
Mailing address
985450 Nebraska Medical Ctr
Omaha, NE 68198-5450
Other practice location 1
444 S 44th St
Omaha, NE 68131-3727
Phone (402) 559-8863
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. 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.