Individual
MADISON WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, COBA
Contact information
Practice address
6960 S EDGERTON RD, BRECKSVILLE, OH 44141-3184
(440) 241-8366
Mailing address
1216 BARKER BLVD APT A, KENT, OH 44240-8618
(910) 787-7466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62073
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/18/2021
Last updated
02/22/2023
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