Individual
MADISON JANE THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 CENTRAL PARK W, TOLEDO, OH 43617-3010
(567) 201-3557
Mailing address
225 HARVEST LN, WATERVILLE, OH 43566-1156
(419) 806-9802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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