Provider Demographics
NPI:1316340631
Name:FRANK, MADELINE ROSE (LBA, BCBA-D, LBA)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:ROSE
Last Name:FRANK
Suffix:
Gender:F
Credentials:LBA, BCBA-D, LBA
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:ROSE
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10020 166TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3010
Mailing Address - Country:US
Mailing Address - Phone:206-919-6556
Mailing Address - Fax:
Practice Address - Street 1:10020 166TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052
Practice Address - Country:US
Practice Address - Phone:206-919-6556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABA60870202103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst