Individual
MADISON ODVODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(732) 691-9854
Mailing address
1001 SW A AVE STE 100, LAWTON, OK 73501-3951
(580) 353-8900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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