NPI 1003410804
Madison Ann Crew
Practice location
- Address
- 400 29th St STE 204, Oakland, CA 94609-3547
- Phone
- (866) 523-4268
- Mailing address
- PO Box 399318, San Francisco, CA 94139-9318
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003410804
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Nov 2020
- Record last updated
- 23 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.