Individual
MADISON MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3037 LEXINGTON AVE, CAPE GIRARDEAU, MO 63701-2602
(573) 768-0576
Mailing address
137 WHITE PINE RD, FRIEDHEIM, MO 63747-7489
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/26/2019
Last updated
10/26/2021
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