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Individual
MADISON HATHAWAY
Active
Individual
MADISON HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77991
GA
106S00000X
Behavior Technician
Primary
RBT-21-172369
GA
Other
Enumeration date
06/17/2021
Last updated
04/20/2026
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