Individual
KAREN MADDEFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 S LONGMORE STE 2, MESA, AZ 85202-9607
(480) 712-5181
Mailing address
3434 E BASELINE RD UNIT 262, PHOENIX, AZ 85042-9603
(785) 318-6586
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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