Individual
AMBER MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 E 83RD AVE, MERRILLVILLE, IN 46410-6307
(219) 472-0628
Mailing address
1477 E 83RD AVE, MERRILLVILLE, IN 46410-6307
(219) 472-0628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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