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Individual

MADISON BIDNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA

Contact information

Practice address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
Mailing address
10657 E FIRETHORN DR, SCOTTSDALE, AZ 85255-8592

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44149
AZ
106S00000X
Behavior Technician

Other

Enumeration date
01/04/2018
Last updated
10/08/2020
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