NPI 1225508815
Madison Grove
Practice location
- Address
- 203 S. Santa Claus Lane, North Pole, AK 99705
- Phone
- (907) 521-0890
- Mailing address
- 203 S. Santa Clause Ln, North Pole, AK 99705
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1225508815
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Nov 2018
- Record last updated
- 27 Nov 2018
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.