Individual
MADISON HEUGHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 MAIN ST APT 2, ESSEX JUNCTION, VT 05452-3126
(860) 405-4923
Mailing address
48 MAIN ST APT 2, ESSEX JUNCTION, VT 05452-3126
(860) 405-4923
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
05/14/2020
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