Individual
MADISON LEE OSTICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 OAK ST STE 3, PITTSTON, PA 18640-3716
(888) 726-4774
Mailing address
115 MCLEAN ST APT REAR, DUPONT, PA 18641-1322
(570) 589-9955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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