Individual
MADISON TAYLOR JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 WOODHILL RD, CAMPBELLSVILLE, KY 42718-4914
(270) 403-8179
Mailing address
1080 WOODHILL RD, CAMPBELLSVILLE, KY 42718-4914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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