Provider Demographics
NPI:1477069276
Name:RICHEAUX-MCDADE, WHITNEY (MSW; BCBA)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:RICHEAUX-MCDADE
Suffix:
Gender:F
Credentials:MSW; BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2812 MERRY LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2535
Mailing Address - Country:US
Mailing Address - Phone:719-271-3364
Mailing Address - Fax:
Practice Address - Street 1:1935 DOMINION WAY STE 104
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1464
Practice Address - Country:US
Practice Address - Phone:719-344-8756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-17
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CO1-23-64241103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician