Individual
MADISON NICOLE WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED., BCBA
Contact information
Practice address
125 W TAYLOR ST, KOKOMO, IN 46901-4554
(765) 419-0411
Mailing address
125 W TAYLOR ST, KOKOMO, IN 46901-4554
(765) 419-0411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45576
IN
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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