Individual
MADDISON JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 RIDGE AVE APT 207, PHILADELPHIA, PA 19128-3930
(570) 789-3844
Mailing address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
Other
Enumeration date
01/23/2021
Last updated
02/09/2024
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