Individual
MADALYN DIMODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 W BELTLINE HWY STE 300, MADISON, WI 53713-2934
(224) 284-2240
(312) 893-2118
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(224) 284-2240
(312) 893-2118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-209537
IL
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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