Individual
MADISON TAYLOR THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2260 COLLEGE AVE, FORT WORTH, TX 76110-1952
(817) 349-9057
(817) 349-9174
Mailing address
2260 COLLEGE AVE, FORT WORTH, TX 76110-1952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23-252868
TX
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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