Individual
MADISON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
51 CAVALIER BLVD STE 230, FLORENCE, KY 41042-3967
(859) 279-0143
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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