Madison Allen

NPI #1043946403 in Midwest City, Oklahoma

Provider Information

NPI Number: 1043946403
Entity Type: Individual
Name: Madison Allen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2022
Last Updated: Jul 28, 2022

Practice Location

Address: 1717 S AIR DEPOT BLVD
City: Midwest City
State: Oklahoma
ZIP Code: 73110-5103
Phone: (405) 622-4239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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