Madison Alicea

NPI #1699307876 in Blacklick, Ohio

Provider Information

NPI Number: 1699307876
Entity Type: Individual
Name: Madison Alicea
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 6, 2020
Last Updated: Feb 6, 2020

Practice Location

Address: 1582 N WAGGONER RD
City: Blacklick
State: Ohio
ZIP Code: 43004-8669
Phone: (303) 989-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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