Individual
JENNIFER MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 HAIGHT AVE, BRONX, NY 10461-1219
(917) 703-0046
Mailing address
2133 HAIGHT AVE, BRONX, NY 10461-1219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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