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Individual

MADISON HOPE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS ; RBT

Contact information

Practice address
703 STATE ROAD 28, MILFORD, OH 45150-5021
(513) 831-2578
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(317) 516-6489

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-84784

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-19-84784
RBT CERTIFICATE
Enumeration date
07/23/2019
Last updated
07/23/2019
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