Raetta Madriz

NPI #1780548073 in Syracuse, Indiana

Provider Information

NPI Number: 1780548073
Entity Type: Individual
Name: Raetta Madriz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 11, 2025
Last Updated: Dec 11, 2025

Practice Location

Address: 1 WARRIOR PATH
City: Syracuse
State: Indiana
ZIP Code: 46567-9170
Phone: (574) 457-3147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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