Individual
TAYLOR MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5163 ROSWELL RD, ATLANTA, GA 30342-2206
(877) 288-4760
Mailing address
141 RIVERFRONT RD SW, COVINGTON, GA 30014-3421
(783) 151-8716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
18-53204
GA
Other
Enumeration date
05/29/2018
Last updated
03/11/2021
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