Individual
MADELINE ROSE TUFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3113 ROSWELL RD STE 204, MARIETTA, GA 30062-5500
(470) 344-4601
Mailing address
150 CARL BARRETT DR, CANTON, GA 30115-4166
(404) 324-1572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74542
—
106S00000X
Behavior Technician
RBT-22-205180
GA
Other
Enumeration date
06/21/2023
Last updated
07/29/2024
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