Individual
MISS MADISON SHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 W BRYN MAWR AVE, CHICAGO, IL 60631-3524
(224) 529-3555
(224) 529-3555
Mailing address
24402 W LOCKPORT ST STE 124, PLAINFIELD, IL 60544-4288
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61802
IL
103K00000X
Behavior Analyst
152.000265
IL
106S00000X
Behavior Technician
RBT-18-49702
—
Other
Enumeration date
08/08/2019
Last updated
06/04/2025
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