Madison Leigh Davern
NPI #1730828799 in Huntingtown, Maryland
Provider Information
- NPI Number
- 1730828799
- Entity Type
- Individual
- Name
- Madison Leigh Davern
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 28, 2022
- Last Updated
- May 28, 2022
Practice Location
- Address
- 25 SUN PARK LN
- City
- Huntingtown
- State
- Maryland
- ZIP Code
- 20639-3320
- Phone
- (667) 321-1599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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