Madison Lightfoot

NPI #1609517762 in Debary, Florida

Provider Information

NPI Number: 1609517762
Entity Type: Individual
Name: Madison Lightfoot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 5, 2022
Last Updated: Feb 28, 2023

Practice Location

Address: 517 BLOSSOMWOOD DR
City: Debary
State: Florida
ZIP Code: 32713-2253
Phone: (386) 216-1951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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