Individual
TAYLOR ANN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 W INDUSTRIAL DR, ROGERS, AR 72756-2492
(479) 439-6906
Mailing address
2901 S 26TH PL APT 1616, ROGERS, AR 72758-4230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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