Individual
MADILYN MAIKUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
484 WOODBINE CIR, MAYFIELD VILLAGE, OH 44143-1525
(216) 272-3963
Mailing address
484 WOODBINE CIR, MAYFIELD VILLAGE, OH 44143-1525
(216) 272-3963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24587
OH
Other
Enumeration date
02/13/2017
Last updated
01/21/2018
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