Individual
MADISON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
881 CORPORATE DR, LEXINGTON, KY 40503-2748
(859) 785-1441
Mailing address
881 CORPORATE DR, LEXINGTON, KY 40503-2748
(859) 785-1441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1044044
KY
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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