Individual
MADISON BONAMINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29566 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48034-1036
(248) 579-3119
(248) 779-1819
Mailing address
29566 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48034-1036
(248) 579-3119
(248) 779-1819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001969
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/11/2018
Last updated
07/25/2023
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