Individual
MADELINE SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 W BELTLINE HWY STE 300, MADISON, WI 53713-2934
(608) 819-6810
(608) 819-6811
Mailing address
3113 W BELTLINE HWY STE 300, MADISON, WI 53713-2934
(608) 819-6810
(608) 819-6811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
401-140
WI
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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