Individual
JORDYN L MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 MITCHELL DR, EAST HARTFORD, CT 06118-2232
(860) 478-8410
Mailing address
72 MITCHELL DR, EAST HARTFORD, CT 06118-2232
(860) 478-8410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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