Jaquan C Madison, B.A.

NPI #1710707161 in Youngstown, Ohio

Provider Information

NPI Number
1710707161
Entity Type
Individual
Name
Jaquan C Madison, B.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
B.A.
Enumeration Date
Oct 11, 2024
Last Updated
Oct 11, 2024

Practice Location

Address
1051 TIFFANY S
State
Ohio
ZIP Code
44514-1977
Phone
(330) 629-2955

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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