Individual
MADISON NEGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1023 W 3RD ST, ELK CITY, OK 73644-5200
(405) 394-1279
Mailing address
414 S LINWOOD ST, CORDELL, OK 73632-5826
(480) 319-3968
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-332430
AZ
Other
Enumeration date
05/16/2024
Last updated
07/29/2025
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