Individual
KEIMONIE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
209 CENTRE SARCELLE BLVD, YOUNGSVILLE, LA 70592-6755
(337) 857-3674
Mailing address
105 CALCO BLVD, LAFAYETTE, LA 70503-2505
(913) 291-7844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
07/18/2024
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