Individual
HEATHER ANN MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, QMHS
Contact information
Practice address
3151 SOARING GULLS DR, LAS VEGAS, NV 89128
(702) 686-4698
Mailing address
1421 N JONES BLVD # 298, LAS VEGAS, NV 89108-1610
(702) 688-6469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/22/2017
Last updated
02/10/2026
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