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Organization
MAXIM HEALTHCARE
Active
Organization
MAXIM HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE RUTH THIEL BT (BEHAVIOR THERAPIST)
(760) 215-2320
Entity
Organization
Contact information
Practice address
2141 PALOMAR AIRPORT RD STE 350, CARLSBAD, CA 92011-1451
(760) 438-0078
Mailing address
2141 PALOMAR AIRPORT RD STE 350, CARLSBAD, CA 92011-1451
(760) 438-0078
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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