Individual
MADDELYNN NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 WALNUT ST, PHILADELPHIA, PA 19102-3419
(856) 616-9442
(856) 310-5434
Mailing address
423 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006205
PA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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