Individual
MADISON E DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RBT
Contact information
Practice address
1840 N 95TH AVE STE 140, PHOENIX, AZ 85037-4446
(623) 264-8188
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-215918
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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