Individual
MADISON MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 N WALTON BLVD STE 1, BENTONVILLE, AR 72712-4302
(479) 802-4798
Mailing address
520 CHURCH AVE, MENA, AR 71953-3210
(479) 216-8803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB681100
AR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/08/2021
Last updated
12/05/2024
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