Individual
JUSTIN MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
218 EAST RD, HAMPSTEAD, NH 03841-2305
(603) 329-5311
Mailing address
218 EAST RD, HAMPSTEAD, NH 03841-2305
(603) 329-5311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22928
—
Other
Enumeration date
06/17/2021
Last updated
03/07/2022
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