Madelyn Theut

NPI #1558009274 in Escanaba, Michigan

Provider Information

NPI Number: 1558009274
Entity Type: Individual
Name: Madelyn Theut
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 2500 7TH AVE S STE 100
City: Escanaba
State: Michigan
ZIP Code: 49829-1176
Phone: (906) 786-6441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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