Individual
JAQUAN C MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1051 TIFFANY S, YOUNGSTOWN, OH 44514-1977
(330) 629-2955
(330) 629-2956
Mailing address
1051 TIFFANY S, YOUNGSTOWN, OH 44514-1977
(330) 629-2955
(330) 629-2956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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