Individual
MADISON BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 ARMSTRONG BLVD, KISSIMMEE, FL 34741-2589
(407) 852-3300
Mailing address
1746 FOXHALL CIR, KISSIMMEE, FL 34741-2919
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
2355S0801X
Speech-Language Assistant
Primary
—
FL
Other
Enumeration date
10/23/2025
Last updated
01/29/2026
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