Healthcare Provider Details

I. General information

NPI: 1477069276
Provider Name (Legal Business Name): WHITNEY RICHEAUX-MCDADE MSW; BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2017
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 62186
COLORADO SPRINGS CO
80962-2186
US

IV. Provider business mailing address

PO BOX 62186
COLORADO SPRINGS CO
80962-2186
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-8756
  • Fax: 719-465-2744
Mailing address:
  • Phone: 719-344-8756
  • Fax: 719-465-2744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-64241
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: