Individual
MS. MADISON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
12912 COLDWATER RD STE E, FORT WAYNE, IN 46845-8871
(260) 245-1455
(317) 288-3396
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(317) 584-5166
(317) 288-3396
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
03/17/2018
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