Individual
MADISON JANE MERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 N I-10 SERVICE RD. W, METAIRIE, LA 70006
(830) 353-0017
Mailing address
2100 SAWMILL RD APT 16301, NEW ORLEANS, LA 70123-5957
(830) 353-0017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/18/2023
Last updated
05/02/2023
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