Individual
CAROLYN ANNE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1233 SHERMAN DR, LONGMONT, CO 80501-6133
(720) 449-6676
Mailing address
906 EVA PEAK DR, ERIE, CO 80516-6218
(720) 788-2218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-131144
CO
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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