Individual
MADELYN STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12503 E EUCLID DR STE 55, CENTENNIAL, CO 80111-6466
(888) 754-0398
Mailing address
6416 NW 5TH WAY, FT LAUDERDALE, FL 33309-6112
(888) 754-0398
(954) 982-6491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56470
CO
106S00000X
Behavior Technician
RBT-19-80184
CO
Other
Enumeration date
07/05/2020
Last updated
01/14/2022
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