Individual
ERIN N MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
283 DEBUYS RD, GULFPORT, MS 39507-2800
(220) 731-3500
Mailing address
283 DEBUYS RD, GULFPORT, MS 39507-2800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
220086
MS
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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