Individual
MADISON MAE OFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 WILLAGILLESPIE RD UNIT 9, EUGENE, OR 97401-2142
(541) 666-3652
Mailing address
1142 WILLAGILLESPIE RD UNIT 9, EUGENE, OR 97401-2142
(541) 666-3652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10222565
OR
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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