Individual
MADELINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 766-5197
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
10/11/2024
Last updated
04/06/2026
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