Madison Walth

NPI #1275171761 in Alto, New Mexico

Provider Information

NPI Number: 1275171761
Entity Type: Individual
Name: Madison Walth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 15, 2019
Last Updated: Dec 17, 2019

Practice Location

Address: 112 TOMBSTONE CT
City: Alto
State: New Mexico
ZIP Code: 88312-9636
Phone: (575) 937-9197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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