Individual
YVONNE LYNETTE MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5163 ROSWELL RD, ATLANTA, GA 30342-2206
(877) 288-4760
Mailing address
2915 RIVERBEND DR, SNELLVILLE, GA 30078-6650
(678) 939-3719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA003017
GA
106S00000X
Behavior Technician
RBT-19-98272
GA
Other
Enumeration date
10/30/2019
Last updated
08/02/2026
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