National Provider Identifier
Madelyn Weaver
Madelyn Weaver is listed in the NPPES registry with a primary specialty of Behavior Technician in Lackawanna, NY and a listed phone number of (716) 828-7586.
Profile Overview
- NPI
- 1912895814
- Provider Type
- Individual
- Primary Specialty
- Behavior Technician
- Enumeration Date
- June 27, 2025
- Last Updated
- June 27, 2025
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 828-7586
Specialties
- Behavior Technician (106S00000X)
Full Record
- NPI
- 1912895814
- Entity Type
- Individual
- Last Name
- Weaver
- First Name
- Madelyn
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Mailing Phone
- (716) 828-7586
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 828-7586
- Enumeration Date
- June 27, 2025
- Last Updated
- June 27, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Technician (106S00000X)