Madison Wildenthaler

NPI #1790560506 in Columbus, Ohio

Provider Information

NPI Number: 1790560506
Entity Type: Individual
Name: Madison Wildenthaler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 29, 2023
Last Updated: Aug 29, 2023

Practice Location

Address: 5120 GODOWN RD
City: Columbus
State: Ohio
ZIP Code: 43220-7202
Phone: (614) 210-0830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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