Individual
MADISON TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1012 24TH AVE NW STE 100, NORMAN, OK 73069-6493
(855) 223-7123
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-66536
NC
103K00000X
Behavior Analyst
Primary
1-23-66536
OK
103K00000X
Behavior Analyst
3630
NC
103K00000X
Behavior Analyst
9975
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/28/2021
Last updated
03/27/2026
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