Individual
MRS. SIERRA MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
306 WYNN DR NW, HUNTSVILLE, AL 35805-1961
(256) 882-2457
Mailing address
306 WYNN DR NW, HUNTSVILLE, AL 35805-1961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2018-068
AL
Other
Enumeration date
01/29/2018
Last updated
02/08/2019
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