Ericia Lashay Maddox

NPI #1841011756 in Del City, Oklahoma

Provider Information

NPI Number: 1841011756
Entity Type: Individual
Name: Ericia Lashay Maddox
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 23, 2024
Last Updated: Oct 23, 2024

Practice Location

Address: 4731 JUDY DR
City: Del City
State: Oklahoma
ZIP Code: 73115-3815
Phone: (405) 476-7732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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