Provider Demographics
NPI:1467340406
Name:USELDING, MADISON STANLI
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:STANLI
Last Name:USELDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:STANLI
Other - Last Name:USELDING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25821 CHAPEL HILL DR
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-5030
Mailing Address - Country:US
Mailing Address - Phone:949-899-7944
Mailing Address - Fax:
Practice Address - Street 1:16 TECHNOLOGY DR STE 139
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2324
Practice Address - Country:US
Practice Address - Phone:949-385-1656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician