Individual
MADISON VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 984-9153
Mailing address
3138 E 4TH ST, TULSA, OK 74104-2408
(405) 761-3501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66221
OK
106S00000X
Behavior Technician
1-07-3468
OK
Other
Enumeration date
12/04/2019
Last updated
06/26/2023
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