Individual
MADELEINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(866) 523-4268
Mailing address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43361
OH
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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